Provider Demographics
NPI:1427468263
Name:MASCHMEYER, DAKUN (CMTPT, CMT)
Entity type:Individual
Prefix:MRS
First Name:DAKUN
Middle Name:
Last Name:MASCHMEYER
Suffix:
Gender:F
Credentials:CMTPT, CMT
Other - Prefix:MS
Other - First Name:DAKUN
Other - Middle Name:
Other - Last Name:NICHOLLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMTPT, CMT
Mailing Address - Street 1:12428 BAYHILL DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9534
Mailing Address - Country:US
Mailing Address - Phone:317-973-0888
Mailing Address - Fax:
Practice Address - Street 1:10291 N MERIDIAN ST
Practice Address - Street 2:SUITE 170
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46290-1076
Practice Address - Country:US
Practice Address - Phone:317-973-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
No174400000XOther Service ProvidersSpecialist