Traci Arnold, PTA

Individual provider Active NPI Physical Therapy Assistant · Martinsville, IN

NPI 1417286642 · NPPES record last updated Dec 17, 2009

Key facts

NPI
1417286642
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
06003048A (IN)
Practice address
2055 Heritage Dr
Martinsville, IN 46151-3158
Phone
(765) 342-3305
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
Yes

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
06003048AINMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06003048A IN Yes

Addresses

Primary practice location

2055 Heritage Dr
Martinsville, IN 46151-3158

Mailing address

6292 Dusty Laurel Dr
Whitestown, IN 46075-9726
Phone (317) 769-6936

Other providers in Martinsville, IN

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

Sources for this page

Verify at the official NPI Registry.