Provider Demographics
NPI:1962006551
Name:KAPURIA, KHUSBOO HARISH (PT, DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:KHUSBOO HARISH
Middle Name:
Last Name:KAPURIA
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 SHELBY ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-6596
Mailing Address - Country:US
Mailing Address - Phone:317-885-4446
Mailing Address - Fax:
Practice Address - Street 1:8601 SHELBY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-6596
Practice Address - Country:US
Practice Address - Phone:317-885-4446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05011809A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist