Individual
COURTNEY R MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
426 S ALABAMA ST, INDIANAPOLIS, IN 46225-3301
(317) 528-2489
Mailing address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013003A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018564
—
IN
Enumeration date
09/05/2018
Last updated
09/18/2019
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