Elizabeth Hickox, PTA

Individual provider Active NPI Physical Therapy Assistant · Camby, IN

NPI 1285020933 · NPPES record last updated Apr 9, 2015

Key facts

NPI
1285020933
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
06004875A (IN)
Practice address
10799 Alliance Dr
Camby, IN 46113-8909
Phone
(317) 821-0444
NPI assigned
Apr 9, 2015
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

State licenses

LicenseStateTypeSpecialty
06004875AINMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06004875A IN Yes

Addresses

Primary practice location

10799 Alliance Dr
Camby, IN 46113-8909

Mailing address

10799 Alliance Dr
Camby, IN 46113-8909
Phone (317) 821-0444

Other names

  • Miss Elizabeth Dyring Former name

Other providers in Camby, IN

All providers in Camby, IN · Physical Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.