Individual
MISTY K BUSTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1178 N MAIN ST, FRANKLIN, IN 46131-1251
(812) 592-1231
Mailing address
3906 WILDERNESS TRL, INDIANAPOLIS, IN 46237-1309
(812) 592-1231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001954A
IN
Other
Enumeration date
08/09/2010
Last updated
04/13/2011
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