Individual
CORY HISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CPT
Contact information
Practice address
888 W NEW RD, GREENFIELD, IN 46140-7304
(317) 468-6252
Mailing address
888 W NEW RD, GREENFIELD, IN 46140-7304
(317) 468-6252
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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