Individual
MICHAEL KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9011 N MERIDIAN ST STE 112, INDIANAPOLIS, IN 46260-2399
(317) 571-0017
Mailing address
17042 FINCHUM WAY WEST, NOBLESVILLE, IN 46060
(317) 770-1984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05007625A
LICENSE#
IN
Enumeration date
11/09/2006
Last updated
07/08/2007
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