SearchIndiana2255A2300X

Elizabeth Miotke, ATC,LAT,PTA

NPI 1720352115 · on the registry since 2012 · sole proprietor

Practice

Address
3923 Prange Dr
Lafayette, IN 47905
Phone
(765) 426-4173

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-03-02

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