IndividualActive
Sam Woodworth, ACSM EP
NPI 1609519784 · Clinical Exercise Physiologist · Indianapolis, IN
Provider details
- NPI number
- 1609519784
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ACSM EP
- Sex
- Male
- Sole proprietor
- Yes
Practice location
2160 W 86th St Ste 101
Indianapolis, IN 46260-1908
Phone: (574) 215-2734
Mailing address
5136 N Kenwood Ave
Indianapolis, IN 46208-2620
Registry dates
- Enumerated
- 2022-04-18
- Last updated
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.