Provider Demographics
NPI:1861599110
Name:BAUERMEISTER, ANDREW M (DPT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:M
Last Name:BAUERMEISTER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 S. STATE ROAD 135
Mailing Address - Street 2:SUITE E
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1444
Mailing Address - Country:US
Mailing Address - Phone:317-881-0101
Mailing Address - Fax:317-881-0101
Practice Address - Street 1:586 S. STATE ROAD 135
Practice Address - Street 2:SUITE E
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1444
Practice Address - Country:US
Practice Address - Phone:317-881-0101
Practice Address - Fax:317-881-6261
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009068A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist