MEDICARE: ELIZABETH MESSENGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	31008910A	IN

General Provider Information

NPI Number	:	1740140987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MESSENGER

Provider Business Mailing Address
First Line	:	518 N MERIDIAN ST
Second Line	:
City	:	LEBANON
State	:	IN
Zip	:	46052-2243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10480 GLASSWATER LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231-0009
Country	:	US
Telephone Number	:	317-839-5808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	11/12/2025

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Directions to “ ELIZABETH MESSENGER ” Practice Location

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