OrganizationActive
Make Yourself, LLC
NPI 1174020549 · Foot Surgery Podiatrist · Peru, IN
Provider details
- NPI number
- 1174020549
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Bradley Hammersley, Owner(765) 244-7440
- License
- 07000906A (IN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
128 W 5th St
Peru, IN 46970-2139
Phone: (765) 244-7440
Approximate (ZIP-level) locationGet directions
Mailing address
128 W 5th St
Peru, IN 46970-2139
Other names (DBA / former)
- Doing business as
- Sole Source Podiatry
Registry dates
- Enumerated
- 2018-04-11
- Last updated
- 2018-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.