Provider Demographics
NPI:1316184856
Name:ESSENMACHER, JOAN (DPT, MS,PT,OCS)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:ESSENMACHER
Suffix:
Gender:F
Credentials:DPT, MS,PT,OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 BOONE VLG
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-1231
Mailing Address - Country:US
Mailing Address - Phone:317-873-2033
Mailing Address - Fax:317-873-8934
Practice Address - Street 1:77 BOONE VLG
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1231
Practice Address - Country:US
Practice Address - Phone:317-873-2033
Practice Address - Fax:317-873-8934
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001836A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist