Individual
IVY STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MUNICIPAL DR STE 200, FISHERS, IN 46038-1634
(317) 440-8499
Mailing address
11 MUNICIPAL DR STE 200, FISHERS, IN 46038-1634
(317) 440-8499
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
12/30/2024
Last updated
05/27/2025
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