Individual
NATHAN WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 MEDICAL DR, CARMEL, IN 46032
(317) 573-1037
(866) 785-4924
Mailing address
14567 MOUNT CALVARY RD, LOOGOOTEE, IN 47553-4903
(812) 709-0941
(866) 785-4924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002984A
IN
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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