Provider Demographics
NPI:1639405277
Name:NETTER, JAMI M (CTRS)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:M
Last Name:NETTER
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 BEECHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-3104
Mailing Address - Country:US
Mailing Address - Phone:317-319-4684
Mailing Address - Fax:317-534-3134
Practice Address - Street 1:270 BEECHVIEW DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-3104
Practice Address - Country:US
Practice Address - Phone:317-319-4684
Practice Address - Fax:317-534-3134
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-01
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist