Organization
DEACONESS SPECIALTY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1900 SAINT CHARLES ST, JASPER, IN 47546-9145
(812) 490-4550
(812) 858-8664
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6879
(812) 450-6879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
05/30/2025
Last updated
08/06/2025
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