NPI 1164937686

Kathleen Clothier, PTA

Practitioner Physical Therapy Assistant Bloomington, IL

Practice location

Address: 1015 S Mercer Ave STE H, Bloomington, IL 61701-7107
Phone: (309) 585-2259
Fax: (309) 976-5840

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160.007939 (IL)

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Registry record

NPI: 1164937686
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2017
Record last updated: 6 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.