Healthcare Provider Details

I. General information

NPI: 1225215312
Provider Name (Legal Business Name): ALL OF ME THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 01/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 JOLIET STREET SUITE 102
DYER IN
46311-3087
US

IV. Provider business mailing address

1160 JOLIET STREET SUITE 102
DYER IN
46311-3087
US

V. Phone/Fax

Practice location:
  • Phone: 219-440-7930
  • Fax: 219-440-7931
Mailing address:
  • Phone: 219-440-7930
  • Fax: 219-440-7931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICKI T MORRIS
Title or Position: OWNER
Credential: M.S., CCC-SLP
Phone: 219-440-7930