| Doctor Name: | TIMOTHY ADAM EBBERT |
| NPI Number: | 1003089350 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 05006970 |
| Business Practice Address: | 13225 N Meridian St Carmel, IN - 460325480 |
| Business Phone Number: | 3172287000 |
| Business Fax Number: | 3172282321 |
| Mailing Address: | 13225 N Meridian St, CARMEL |
| State: | IN |
| Postal Code: | 460325480 |
| Phone Number: | 3172287000 |
| Fax Number: | 3172282321 |
| NPI Enumeration Date: | 04/08/2008 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 05006970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |