BRENT STAUTH

INDIANAPOLIS, IN
NPI1164452231
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05014664A)
Enumeration Date2006-07-04
Last Update Date2024-04-18
Business Address
BRENT STAUTH PT
6727 EVERGLADES CT
INDIANAPOLIS, IN 46217-3920
Phone number: 480-603-7650
Mailing Address
BRENT STAUTH PT
6727 EVERGLADES CT
INDIANAPOLIS, IN 46217-3920
Phone number: 480-603-7650
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