Impact Athletics Incorporated
Impact Athletics Incorporated is a Registered Dietitian in Indianapolis, Indiana. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 5
Practice location Address checks out
9525 N Meridian StIndianapolis, IN 46260-1310
Phone: (317) 669-2375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Preventive Medicine) Physician (primary) | Taxonomy 2083S0010X |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X |
| Physical Therapist | Taxonomy 225100000X |
| Orthopedic Physical Therapist | Taxonomy 2251X0800X |
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1568203610 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Ham — President · (669) 666-4936 |
| Other names | Impact Athletics; Impact Athletics |
| NPI enumerated | June 3, 2024 |
| Last updated in NPPES | July 13, 2024 |
| Certification date | July 13, 2024 |
| Mailing address | 9525 N Meridian St, Indianapolis, IN 46260-1310 |
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