Provider Demographics
NPI:1891401527
Name:THRIVE INDY PELVIC HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:THRIVE INDY PELVIC HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALHOTRA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:317-676-0206
Mailing Address - Street 1:4482 EAGLERIDGE LN
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-4613
Mailing Address - Country:US
Mailing Address - Phone:612-251-7619
Mailing Address - Fax:
Practice Address - Street 1:8202 CLEARVISTA PKWY STE 8B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1456
Practice Address - Country:US
Practice Address - Phone:317-676-0206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy