SearchIndiana2255A2300X

Stephen Lubbehusen, ATC,LAT

NPI 1942639406 · on the registry since 2013

Practice

Address
10807 Smokey Ridge Pl
Fort Wayne, IN 46818
Phone
(260) 490-9957

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-11-05

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