| NPI | 1669365706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 363L00000X Nurse Practitioner | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-09-29 |