Individual
MICHELLE HECK COMPTON-CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 333-2663
(812) 676-4131
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010914A
IN
225100000X
Physical Therapist
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01394366
RR MEDICARE
IN
Enumeration date
07/20/2012
Last updated
09/27/2022
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