Jennifer Lynn Boyd, PT | |
12335 Bridgewater Rd, Indianapolis, IN 46256-9431 | |
(317) 523-4181 | |
Not Available |
Full Name | Jennifer Lynn Boyd |
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Gender | Female |
Speciality | Physical Therapist |
Location | 12335 Bridgewater Rd, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689767360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05007569A (Indiana) | Primary |
Provider Name | Creative Health Care Management Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
Mailing Address | Practice Location Address |
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Jennifer Lynn Boyd, PT 12335 Bridgewater Rd, Indianapolis, IN 46256-9431 Ph: (317) 523-4181 | Jennifer Lynn Boyd, PT 12335 Bridgewater Rd, Indianapolis, IN 46256-9431 Ph: (317) 523-4181 |
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