Individual
KRISTA MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2899 E 450 N, ANDERSON, IN 46012-9290
(765) 748-0863
(765) 644-0500
Mailing address
2899 E 450 N, ANDERSON, IN 46012-9290
(765) 748-0863
(765) 644-0500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004444A
IN
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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