Organization
NORTHWEST INDIANA THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW TEIBEL (OWNER/ADMINISTRATOR)
(219) 924-3108
Entity
Organization
Contact information
Practice address
2635 45TH ST, HIGHLAND, IN 46322-2902
(219) 924-3108
(219) 924-3109
Mailing address
2635 45TH ST, HIGHLAND, IN 46322-2902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008772A
IN
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
Primary
30003890A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20046112OA
—
IN
Enumeration date
10/19/2006
Last updated
09/11/2025
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