Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 05010995A | IN |
NPI | 1396411864 |
---|---|
Provider Name | Kathryn Gyves |
First Address | Indianapolis, IN 46202-2207 |
Second Address | Indianapolis, IN 46202-2207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2021 |
Last Update Date | 17/08/2021 |