Impact Athletics Incorporated
NPI #1568203610 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1568203610
- Entity Type
- Organization
- Organization Name
- Impact Athletics Incorporated
- Primary Specialty
- Preventive Medicine - Sports Medicine
- Enumeration Date
- Jun 3, 2024
- Last Updated
- Jul 13, 2024
Practice Location
- Address
- 9525 N MERIDIAN ST
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46260-1310
- Phone
- (317) 669-2375
Authorized Official
- Name
- JACK HAM
- Title
- PRESIDENT
- Phone
- (669) 666-4936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Nurse Practitioner - Family — Family |
| Physical Therapist |
| Physical Therapist - Orthopedic — Orthopedic |
| Preventive Medicine - Sports Medicine — Sports Medicine |
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