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SOLE SOURCE PODIATRY
NPI 1174020549
Podiatrist - Foot Surgery in Peru, IN

Active since April 11, 2018

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sole Source Podiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOLE SOURCE PODIATRY (NPI 1174020549) is a healthcare organization registered as a foot surgery in Peru, Indiana and active in the NPI registry since April 2018. The organization lists Bradley R Hammersley, Owner, as its authorized official.

NPPES Registry Identity

NPI1174020549
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameMAKE YOURSELF, LLC
Location Address128 W 5TH STPeru, IN 46970-2139
Mailing Address128 W 5th StPeru, IN 46970-2139 · (765) 244-7440
Phone(765) 244-7440
Organization SubpartNo
Authorized OfficialBradley R HammersleyOwner · (765) 244-7440
Enumeration DateApril 11, 2018
✔ NPI 1174020549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in IN · 07000906A
128 W 5TH ST, Peru, IN 46970
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Other Names 1

Doing Business AsSole Source Podiatry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Make Yourself, LLC's NPI number?

The NPI number for Make Yourself, LLC is 1174020549. It was assigned to this organization in the NPPES registry on April 11, 2018. The provider is doing business as Sole Source Podiatry.

Where is Make Yourself, LLC located?

Make Yourself, LLC is located at 128 W 5th St, Peru, IN 46970. The listed phone number is (765) 244-7440.

What is Make Yourself, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Make Yourself, LLC was last updated on April 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.