Individual
DUSTIN MICHAEL FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7855 S EMERSON AVE STE W, INDIANAPOLIS, IN 46237-8669
(317) 889-5340
(317) 889-5711
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
(260) 459-9262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014757A
IN
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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