Most Relevant Information
Provider Data
| NPI Number: | 1003387614 |
| Provider Name: | LISA SMILEY PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 05011745A |
Most Important Dates
| Enumeration Date: | 12/07/2018 |
| Last Updated: | 12/07/2018 |
Provider Practice Location
4340 W 96TH ST STE 105A
INDIANAPOLIS
IN
462682920
Practice Location Phone/Fax
| Phone: | 3176601999 |
| Fax: | 3176601870 |
Provider Mailing Location
4340 W 96TH ST STE 105A
INDIANAPOLIS
IN
462682920
Provider Mailing Phone/Fax
| Phone: | 3176601999 |
| Fax: | 3176601870 |