DYLAN ANDREW LAX

FISHERS, IN
NPI1679074322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05012807A)
Additional Taxonomies225100000X Physical Therapist
(Licence: TX  1303057)
Enumeration Date2018-02-27
Last Update Date2023-11-15
Business Address
DYLAN ANDREW LAX DPT
14300 E 138TH STE B
FISHERS, IN 46037-0051
Phone number: 800-622-6575
Mailing Address
DYLAN ANDREW LAX DPT
3600 W BETHEL AVE
MUNCIE, IN 47304-5407
Phone number: 800-622-6575