Heather R. Partoll, PTA

Individual provider Active NPI Physical Therapy Assistant · Elburn, IL

NPI 1275657140 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1275657140
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
484 Gray Ave
Elburn, IL 60119-9411
Phone
(630) 365-3817
NPI assigned
Mar 18, 2007
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

State licenses

LicenseStateTypeSpecialty
160-003084ILMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X IL Yes

Addresses

Primary practice location

484 Gray Ave
Elburn, IL 60119-9411

Mailing address

484 Gray Ave
Elburn, IL 60119-9411
Phone (630) 365-3817

Other providers in Elburn, IL

All providers in Elburn, IL · Physical Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.