Individual
JAIME RAE APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1400 FAIRFIELD AVE, GOSHEN, IN 46526-4488
(574) 971-1815
Mailing address
2310 CALIFORNIA RD STE A, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-5183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013090A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020482
—
IN
Enumeration date
08/22/2018
Last updated
11/30/2022
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