Carrie B. Arseneau, PTA, LMT
Individual provider Active NPI Physical Therapy Assistant · Manteno, IL
NPI 1174875371 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1174875371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.002769 (IL)
- Practice address
- 395 N Locust St
Manteno, IL 60950-1222 - Phone
- (815) 468-8246
- Fax
- (815) 468-8304
- NPI assigned
- Oct 11, 2012
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.002769 | IL | MD | Physical Therapy Assistant |
| 227.006766 | IL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.002769 | IL | Yes |
| Massage Therapist | 225700000X | 227.006766 | IL |
Addresses
Primary practice location
395 N Locust St
Manteno, IL 60950-1222
Mailing address
350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 935-7514
Other providers in Manteno, IL
- Ah 1 LLC
- Ah, LLC
- Mehul Amin
- Chelsea Anderson
- Athletico, LTD.
- Basham, Inc.
- Ashley Beane
- Christina Bober
- Mary Ann Margaret Borkenhagen
All providers in Manteno, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.