Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 05012152A | IN |
NPI | 1073001046 |
---|---|
Provider Name | Cara Hays |
First Address | Indianapolis, IN 46205-1357 |
Second Address | Fishers, IN 46038-4463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2018 |
Last Update Date | 25/04/2018 |