NPI 1225917172

Brock C Loesche

Practitioner Recreation Therapist O Fallon, IL

Practice location

Address: 821 W Highway 50, O Fallon, IL 62269-1828
Phone: (618) 276-0370
Mailing address: 5444 Oak Thorn Dr, Freeburg, IL 62243-2735

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 88276 (IL)

Other Recreation Therapist providers in Illinois →

Registry record

NPI: 1225917172
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2025
Record last updated: 27 Aug 2025

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.