Provider Demographics
NPI:1538148473
Name:DREHS, SHARON K (PT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:DREHS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9931 SUGARLEAF PL
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-5579
Mailing Address - Country:US
Mailing Address - Phone:317-774-9444
Mailing Address - Fax:
Practice Address - Street 1:7440 N SHADELAND AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2029
Practice Address - Country:US
Practice Address - Phone:317-577-7333
Practice Address - Fax:317-577-7330
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05002810A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200183820Medicaid
IN05002810AOtherPHYSICAL THERAPIST
IN05002810AOtherPHYSICAL THERAPIST