NPI 1609519784
Sam Woodworth, ACSMEP
Practice location
- Address
- 2160 W 86th St STE 101, Indianapolis, IN 46260-1908
- Phone
- (574) 215-2734
- Mailing address
- 5136 N Kenwood Ave, Indianapolis, IN 46208-2620
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1609519784
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Apr 2022
- Record last updated
- 18 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.