OrganizationActive
Midwest Myofunctional and Speech Therapy, LLC
NPI 1164080974 · Hearing and Speech Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1164080974
- Entity type
- Organization
- Primary specialty
- Hearing and Speech Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Julie Carrico, Speech-Language Pathologist
Practice location
7221 Engle Rd Ste 225
Fort Wayne, IN 46804-2229
Phone: (260) 438-1430
Mailing address
10909 W Sycamore Hills Dr
Fort Wayne, IN 46814-9335
Registry dates
- Enumerated
- 2019-06-05
- Last updated
- 2019-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.