Healthcare Provider Details

I. General information

NPI: 1992794168
Provider Name (Legal Business Name): SAVITA M. CHATFIELD D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W 89TH AVE
MERRILLVILLE IN
46410-7073
US

IV. Provider business mailing address

333 W 89TH AVE
MERRILLVILLE IN
46410-7073
US

V. Phone/Fax

Practice location:
  • Phone: 219-755-4471
  • Fax:
Mailing address:
  • Phone: 219-755-4471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10261-024
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: