Individual
TASHEENA TANEE KRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4904 WAR ADMIRAL DR, INDIANAPOLIS, IN 46237-9737
(317) 884-5741
Mailing address
3823 WESTBERRY CT, GREENWOOD, IN 46142-5506
(317) 625-3276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010881A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05010881A
IN PLA
IN
Enumeration date
08/22/2018
Last updated
08/22/2018
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