NPI 1629242516

Theresa Schaffer

Practitioner Physical Therapy Assistant East Peoria, IL

Practice location

Address: 500 Centennial Dr, East Peoria, IL 61611-4912
Phone: (309) 694-9865
Mailing address: 7924 W Bridlebrook Dr, Mapleton, IL 61547-9673

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160002430 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1629242516
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2008
Record last updated: 22 Apr 2008

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.