SearchIndiana251E00000X

Tammy Vautaw

NPI 1669017356 · on the registry since 2019 · sole proprietor

Practice

Address
807 S 16th St
Elwood, IN 46036
Phone
(765) 717-6181
Fax
(765) 557-7153

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
376J00000X
385H00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana