Individual
SCOTT M LONGMUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CSCS
Contact information
Practice address
6040 W 84TH ST, INDIANAPOLIS, IN 46278
(317) 802-2000
Mailing address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 802-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008648A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133720K
—
IN
Enumeration date
10/02/2006
Last updated
07/20/2018
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