Lynn M Enterline, PTA

Individual provider Active NPI Physical Therapy Assistant · Bluffton, IN

NPI 1588959175 · NPPES record last updated Jun 13, 2011

Key facts

NPI
1588959175
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
06002062A (IN)
Practice address
2697 S 350 E
Bluffton, IN 46714-9412
Phone
(260) 824-2886
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
06002062AINMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06002062A IN Yes

Addresses

Primary practice location

2697 S 350 E
Bluffton, IN 46714-9412

Mailing address

2697 S 350 E
Bluffton, IN 46714-9412
Phone (260) 824-2886

Other providers in Bluffton, IN

All providers in Bluffton, IN · Physical Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.