Provider Demographics
NPI:1972084838
Name:LUKEMEYER, HANNAH HEENAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:HEENAN
Last Name:LUKEMEYER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6730 SPIRIT LAKE DR UNIT 101
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-7134
Mailing Address - Country:US
Mailing Address - Phone:812-369-8212
Mailing Address - Fax:
Practice Address - Street 1:5492 N RONALD REAGAN PKWY STE 180
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-5618
Practice Address - Country:US
Practice Address - Phone:317-858-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05013025A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist