Provider Demographics
NPI:1962623033
Name:LAMM, CHRISTY DIANE (MS, PT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:DIANE
Last Name:LAMM
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7137 WETMORE CT.
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259
Mailing Address - Country:US
Mailing Address - Phone:317-409-7752
Mailing Address - Fax:775-242-7332
Practice Address - Street 1:7137 WETMORE CT.
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46259
Practice Address - Country:US
Practice Address - Phone:317-409-7752
Practice Address - Fax:775-242-7332
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05006945A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist