Innovative Physical Therapy LLC

NPI #1578937447 in Chesterton, Indiana

Provider Information

NPI Number: 1578937447
Entity Type: Organization
Organization Name: Innovative Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 16, 2015
Last Updated: Dec 23, 2020

Practice Location

Address: 502 E 1100 N
City: Chesterton
State: Indiana
ZIP Code: 46304-9697
Phone: (219) 926-5850

Authorized Official

Name: DR. KEITH ELLIS, DPT
Title: OWNER
Phone: (219) 926-5850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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