Healthcare Provider Details

I. General information

NPI: 1902824956
Provider Name (Legal Business Name): MIDWEST HEALTHSTRATEGIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1745 W 100 S
PORTLAND IN
47371
US

IV. Provider business mailing address

C/O GARNET E KING 3813 S MADISON ST
MUNCIE IN
47302
US

V. Phone/Fax

Practice location:
  • Phone: 260-726-4020
  • Fax: 260-726-1805
Mailing address:
  • Phone: 765-213-3707
  • Fax: 765-213-3888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN M LAVERTY
Title or Position: DIRECTOR/OFFICER
Credential:
Phone: 765-751-5072