Penny M Pysh, CMT
Individual provider Active NPI Reflexologist · Valparaiso, IN
NPI 1023388337 · NPPES record last updated Jan 3, 2012
Key facts
- NPI
- 1023388337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reflexologist 173C00000X
- Practice address
- 2305 Roosevelt Rd
Valparaiso, IN 46383-2772 - Phone
- (219) 299-2628
- NPI assigned
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | IN | Yes |
Addresses
Primary practice location
2305 Roosevelt Rd
Valparaiso, IN 46383-2772
Mailing address
2305 Roosevelt Rd
Valparaiso, IN 46383-2772
Phone (219) 299-2628
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.