Michael James Brickens, PT
Physical Therapist in Indianapolis, IN. Individual provider (NPI-1).
NPI number1457096554
StatusActive
Last updated in NPPESMay 3, 2022
Details
- NPI
- 1457096554
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael James Brickens
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2022
- Certification date
- May 3, 2022
- Last updated
- May 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05002416A | IN | Yes |
Practice location
5940 Decatur BlvdIndianapolis, IN 46241-9579
Phone 317-856-2945
Mailing address
7050 Red Day RdMartinsville, IN 46151-8863
Phone 317-285-8264
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