Individual
JESSICA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1260 N 17TH ST, LAFAYETTE, IN 47904-2163
(765) 423-6885
Mailing address
1260 N 17TH ST, LAFAYETTE, IN 47904-2163
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05009087A
IN
Other
Enumeration date
04/01/2014
Last updated
05/05/2017
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