NPI 1952686396

Jillian Kira-Ruth Hayden, PTA

Practitioner Physical Therapy Assistant Fairview Heights, IL

Practice location

Address: 120 S Ruby Ln, Fairview Heights, IL 62208-2612
Phone: (618) 398-2225
Mailing address: 2010 E B St, Belleville, IL 62221-5004

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160004189 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1952686396
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2011
Record last updated: 17 Oct 2011

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.