Provider Demographics
NPI:1114645314
Name:FLECK, KATELYN IRENE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:IRENE
Last Name:FLECK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:IRENE
Other - Last Name:HEDINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:7071 MORELLO LN
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-8431
Mailing Address - Country:US
Mailing Address - Phone:812-630-6019
Mailing Address - Fax:
Practice Address - Street 1:9957 ALLISONVILLE RD
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2006
Practice Address - Country:US
Practice Address - Phone:317-841-7005
Practice Address - Fax:317-841-7029
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05014672A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist