IndividualActive
John Doherty, P.T., A.T.C.
NPI 1700079837 · Sports Physical Therapist · Munster, IN
Provider details
- NPI number
- 1700079837
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T., A.T.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 05001844A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1950 45th Ave
Suite 200
Munster, IN 46321-3917
Phone: (219) 922-8188
Fax: (219) 922-8502
Approximate (ZIP-level) locationGet directions
Mailing address
1950 45th Ave
Munster, IN 46321-3917
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2007-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.