Individual
TORRI S PREDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(317) 838-4751
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003592A
IN
363A00000X
Physician Assistant
PA9103632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264431076
MEDICARE PTAN
IN
05
—
292422600
—
FL
05
—
300070663
—
IN
Enumeration date
05/16/2006
Last updated
02/15/2025
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