Lauri W Ackerman, PT
Individual provider Active NPI Physical Therapist · Jasper, IN
NPI 1639614274 · NPPES record last updated Jan 5, 2017
Key facts
- NPI
- 1639614274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05002411A (IN)
- Practice address
- 800 W 9TH St
Jasper, IN 47546-2514 - Phone
- (812) 996-0682
- Fax
- (812) 996-0268
- NPI assigned
- Jan 5, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002411A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05002411A | IN | Yes |
Addresses
Primary practice location
800 W 9TH St
Jasper, IN 47546-2514
Mailing address
800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0682
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.