Monica Suzanne Huffman, PT, MS ATC/L

Individual provider Active NPI Physical Therapist · New Berlin, IL

NPI 1205181963 · NPPES record last updated Jul 18, 2012

Key facts

NPI
1205181963
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070008504 (IL)
Practice address
14397 W Loami Rd
New Berlin, IL 62670-4406
Phone
(217) 488-6144
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070008504ILMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070008504 IL Yes

Addresses

Primary practice location

14397 W Loami Rd
New Berlin, IL 62670-4406

Mailing address

1847 Lynnville Woodson Rd
Jacksonville, IL 62650-6133
Phone (217) 473-3309

Other providers in New Berlin, IL

All providers in New Berlin, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.