NPI 1033582903

Matthew Harrison, LATATC

Practitioner Contractor Carmel, IN

Practice location

Address: 11595 N Meridian St STE 140, Carmel, IN 46032-4544
Phone: (317) 708-4832
Mailing address: 144 Diplomat CT APT 9, Beech Grove, IN 46107-2343

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2000018286 (IN)

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Registry record

NPI: 1033582903
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2015
Record last updated: 2 Nov 2015

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.