Individual
MRS. LISA KAY SUMMERLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 SOUTHFIELD DR, PLAINFIELD, IN 46168-4498
(317) 838-3434
Mailing address
242 OXMOOR WAY APT G, AVON, IN 46123-1165
(317) 273-0810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11370-024
WI
2251X0800X
Orthopedic Physical Therapist
05007342A
IN
Other
Enumeration date
12/24/2009
Last updated
06/28/2010
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