Individual
LISA SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4340 W 96TH ST STE 105A, INDIANAPOLIS, IN 46268-2920
(317) 660-1999
(317) 660-1870
Mailing address
4340 W 96TH ST STE 105A, INDIANAPOLIS, IN 46268-2920
(317) 660-1999
(317) 660-1870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011745A
IN
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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