Tory Masters

Individual provider Active NPI Developmental Therapist · Ridgeville, IN

NPI 1932811189 · NPPES record last updated Dec 20, 2022

Key facts

NPI
1932811189
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
2163 E 750 N
Ridgeville, IN 47380-9106
Phone
(765) 644-0500
NPI assigned
Dec 20, 2022
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

2163 E 750 N
Ridgeville, IN 47380-9106

Mailing address

2163 E 750 N
Ridgeville, IN 47380-9106
Phone (765) 644-0500

Other providers in Ridgeville, IN

All providers in Ridgeville, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.