Lynn Ann Baber, PT

Individual provider Active NPI Physical Therapist · Monmouth, IL

NPI 1316421985 · NPPES record last updated Sep 30, 2018

Key facts

NPI
1316421985
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070.005100 (IL)
Practice address
117 S I St
Monmouth, IL 61462-1544
Phone
(309) 221-1241
NPI assigned
Sep 19, 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)
No

State licenses

LicenseStateTypeSpecialty
070.005100ILMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.005100 IL Yes

Addresses

Primary practice location

117 S I St
Monmouth, IL 61462-1544

Mailing address

12 Fairway Dr
Monmouth, IL 61462-8692
Phone (309) 221-1241

Other providers in Monmouth, IL

All providers in Monmouth, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.