Individual
JOHANNA ELIZABETH LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1992 E STOP 13 RD, INDIANAPOLIS, IN 46227-6267
(317) 808-0230
(317) 808-0231
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009649A
IN
Other
Enumeration date
05/27/2008
Last updated
03/13/2026
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