Individual
MRS. MICHELLE LOFTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11650 LANTERN RD STE 235, FISHERS, IN 46038-3106
(317) 576-8410
(888) 654-4116
Mailing address
11650 LANTERN RD STE 235, FISHERS, IN 46038-3106
(317) 576-8410
(888) 654-4116
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05005091A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05005091A
PHYSICAL THERAPY LICENSE
IN
Enumeration date
01/08/2013
Last updated
01/08/2013
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