Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANET CARROLL, R.N., M.T.
ActiveJANET CARROLL, R.N., M.T. is a 163WM1400X healthcare provider located in FORT WAYNE, Indiana. NPI 1124494505 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · FORT WAYNE, IN
Registration Details
- NPI Number
- 1124494505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2015 (11.028125553786 yrs)
- Last Updated
- Aug 19, 2015
- Licenses
-
28057959A (IN)MT20901877 (IN)
Practice Information
- Address
-
5111 N BEND DRFORT WAYNE, IN, 468041753Browse IN providers · Browse ZIP 46804
- Phone
- 2604368807
- Fax
- 2604362767
- Primary Specialty
-
163WM1400X
163WM1400X
- Additional Specialty
- Massage Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.