Kristin Iler, PT

Individual provider Active NPI Physical Therapist · Millstadt, IL

NPI 1114406014 · NPPES record last updated Dec 19, 2019

Key facts

NPI
1114406014
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070023720 (IL)
Practice address
327 W Washington St
Millstadt, IL 62260-1159
Phone
(618) 476-9444
Fax
(618) 476-7650
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
070023720ILMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070023720 IL Yes

Addresses

Primary practice location

327 W Washington St
Millstadt, IL 62260-1159

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names

  • Kristin Krausz Former name

Other providers in Millstadt, IL

All providers in Millstadt, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.