| NPI | 1578821740 |
|---|---|
| Doing Business As | GENESIS HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHAUN TYMCHAK Owner 812-858-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 225100000X Physical Therapist (Licence: IN 05008961A) | |
| 208100000X Physical Medicine & Rehabilitation | |
| 363L00000X Nurse Practitioner (Licence: IN 71005174A) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2015-07-07 |