Mrs. Jennifer Marie Watkins
Orthotic Fitter
11967 Sellerton Dr
Fishers
, Indiana 46037-7813
Mrs. Jennifer Marie Watkins
Orthotic Fitter
11967 Sellerton Dr
Fishers
, Indiana 46037-7813
(317) 915-0899
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Marie Watkins
- 11967 Sellerton Dr
- Fishers, IN
- Zip : 46037-7813
- Phone : (317) 915-0899
Second Address
- Mrs. Jennifer Marie Watkins
- 11967 Sellerton Dr
- Fishers, IN
- Zip : 46037-7813
- Phone : (317) 915-0899
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 36000772A | IN |
National Provider Identifier
| NPI | 1790770832 |
|---|---|
| Provider Name | Mrs. Jennifer Marie Watkins |
| First Address | Fishers, IN 46037-7813 |
| Second Address | Fishers, IN 46037-7813 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36000772A | INDIANA ATHLETIC TRAINER (01) | IN |
| 977530 | NATA MEMBER # (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.