Individual
DYLAN ANDREW LAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14300 E 138TH STE B, FISHERS, IN 46037-0051
(800) 622-6575
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
(765) 284-4266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012807A
IN
225100000X
Physical Therapist
1303057
TX
Other
Enumeration date
02/27/2018
Last updated
11/15/2023
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