Provider Demographics
NPI:1750585212
Name:CALDER, WILLIAM T (NCBTMB)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:T
Last Name:CALDER
Suffix:
Gender:M
Credentials:NCBTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 UNITY PL
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-5760
Mailing Address - Country:US
Mailing Address - Phone:765-426-8944
Mailing Address - Fax:
Practice Address - Street 1:1345 UNITY PL
Practice Address - Street 2:SUITE 225
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-5760
Practice Address - Country:US
Practice Address - Phone:765-426-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist