NPI 1841534914

Indiana Physical Therapy INC

Organisation Public Health or Welfare Agency Fort Wayne, IN

Practice location

Address: 2101 E Coliseum Blvd, Fort Wayne, IN 46805-1445
Phone: (260) 481-0698
Mailing address: 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676

Authorised official

Name: Troy Smith
Title: Senior Therapist
Phone: (260) 385-8756

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 36001993A (IN)

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Registry record

NPI: 1841534914
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

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.