Provider Demographics
NPI:1891009981
Name:ARKENAU, KRYSIA A (PT)
Entity Type:Individual
Prefix:MRS
First Name:KRYSIA
Middle Name:A
Last Name:ARKENAU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:792 WEST 900 NORTH
Mailing Address - Street 2:
Mailing Address - City:FORTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46040
Mailing Address - Country:US
Mailing Address - Phone:317-590-8226
Mailing Address - Fax:317-485-2764
Practice Address - Street 1:11050 PRESBYTERIAN DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-2982
Practice Address - Country:US
Practice Address - Phone:317-823-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003856A2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics