Doctor Name: | JEFFREY DENNIS MESTRICH |
NPI Number: | 1518995844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 05008033A |
Business Practice Address: | 70 Brendon Way Zionsville, IN - 460771945 |
Business Phone Number: | 3175811890 |
Business Fax Number: | 3175812436 |
Mailing Address: | 8902 N Meridian St, Ste 215 INDIANAPOLIS |
State: | IN |
Postal Code: | 462605382 |
Phone Number: | 3175811890 |
Fax Number: | 3175812436 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 05/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05008033A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |