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Jimmy Midence, PTA
NPI 1912558081 · on the registry since 2019
Practice
- Address
- 4205 Sunshine Ave
Indianapolis, IN 46228 - Phone
- (317) 937-1134
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana