| NPI | 1609607712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MICHAEL TAPP Owner/Physical Therapist 219-263-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2025-03-05 |