Arran Skinner
Individual provider Active NPI Physical Therapy Assistant · Lyons, IL
NPI 1356709752 · NPPES record last updated Feb 1, 2016
Key facts
- NPI
- 1356709752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160007277 (IL)
- Practice address
- 8604 47TH St
Apt 1S
Lyons, IL 60534-1663 - Phone
- (708) 781-3113
- NPI assigned
- Feb 1, 2016
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 160007277 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160007277 | IL | Yes |
Addresses
Primary practice location
8604 47TH St
Apt 1S
Lyons, IL 60534-1663
Mailing address
8604 47TH St
Apt 1S
Lyons, IL 60534-1663
Phone (708) 781-3113
Other providers in Lyons, IL
- Frank R Salazar
- Pauline Samonte
- Roger T Sardon
- Marybeth Schumpp
- Naya Shapiro
- Caryl Smith
- Cynthia Marie Sodini
- Adrian Tellez
- Yesenia Trujillo
- Julie Turrubiates
All providers in Lyons, 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 Feb 1, 2016. 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.