Healthcare Provider Details
I. General information
NPI: 1154562353
Provider Name (Legal Business Name): LIGHT TOUCH PHYSICAL THERAPY AND TRAINING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2009
Last Update Date: 03/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
736 EAST LINCOLN HWY
SCHERERVILLE IN
46375
US
IV. Provider business mailing address
1840 HUPPENTHAL DR
SCHERERVILLE IN
46375-3005
US
V. Phone/Fax
- Phone: 219-306-1774
- Fax: 219-322-6025
- Phone: 219-306-1774
- Fax: 219-322-6025
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LYNN
CHRISTINE
SCHMITT
Title or Position: CEO
Credential: PT
Phone: 219-306-1774