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Contact Information

SAVANNAH G AXLEY, PTA
251 STATE ROAD 66
NEW HARMONY, IN47631
 Phone: 812-682-4104
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for SAVANNAH G AXLEY · (Female)

NPI Number 1386890580
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/07/2008
Last updated 02/17/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 160.004789
  • IN License # 06003296A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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