Individual
ELAINE NOEL SHIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014363A
IN
225100000X
Physical Therapist
99104559A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102279729
ANTHEM PTAN
IN
Enumeration date
06/01/2021
Last updated
04/24/2024
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