Provider Demographics
NPI:1376917229
Name:COMPRESSION THERAPY SOLUTIONS OF INDIANA INC
Entity Type:Organization
Organization Name:COMPRESSION THERAPY SOLUTIONS OF INDIANA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLCHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:317-777-1705
Mailing Address - Street 1:711 S EAST ST
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46225-1317
Mailing Address - Country:US
Mailing Address - Phone:317-986-6928
Mailing Address - Fax:888-972-6691
Practice Address - Street 1:711 S EAST ST
Practice Address - Street 2:SUITE 1-A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46225-1317
Practice Address - Country:US
Practice Address - Phone:317-986-6928
Practice Address - Fax:888-972-6691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies