Michelle Standard PT

NPI 1609039312 - Physical Therapist - 225100000X

NPI Details
NPI 1609039312
Gender Female
Enumeration Date 07/03/2008
Last Updated 07/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
872 W DAYTON ST
GALESBURG IL, 61401-1503, US
Phone (309) 344-3400
Fax (309) 344-5040
Business Location
872 W DAYTON ST
GALESBURG IL, 61401-1503, US
Phone (309) 344-3400
Fax (309) 344-5040
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070.011670
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According to our database, Michelle Standard PT NPI is 1609039312, taxonomy code is 225100000X and license number is 070.011670, license state is located at Illinois. Michelle Standard PT physically located at 872 W Dayton St, Galesburg IL, 61401-1503. NPI Number Michelle Standard PT has the Individual type.

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1609039312 NPI number is provided on an as is basis without warranty of any kind. 1609039312 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Standard PT are for informational purposes only.