Individual
DEREK THIEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10122 E 10TH ST, INDIANAPOLIS, IN 46229-2663
(317) 355-9520
Mailing address
9013 SWEET BAY CT, INDIANAPOLIS, IN 46260-1554
(317) 363-6487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013082A
IN
Other
Enumeration date
05/22/2023
Last updated
05/06/2026
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