Individual provider · Type 1 NPI

Andrew Souder, PTA

Physical Therapy Assistant · Indianapolis, IN

NPI number 1336903293 Active

Practice location

7424 Shadeland Station Way
Indianapolis, IN 46256-3925

Call (317) 912-4620 Map

Fax (317) 912-4621

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06006502A (IN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1336903293

Andrew Souder, PTA's National Provider Identifier is 1336903293, issued on Feb 12, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 9, 2026.