Torey Byrd, PT, DPT

Individual provider Active NPI Physical Therapist · Columbia, IL

NPI 1447730858 · NPPES record last updated Aug 15, 2018

Key facts

NPI
1447730858
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070023745 (IL)
Practice address
1150 Columbia Ctr
Columbia, IL 62236-2559
Phone
(618) 281-6681
Fax
(618) 281-6691
NPI assigned
Aug 15, 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
070023745ILMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070023745 IL Yes

Addresses

Primary practice location

1150 Columbia Ctr
Columbia, IL 62236-2559

Mailing address

20 Eagle Lake Dr
Columbia, IL 62236-4448
Phone (618) 530-6273

Other providers in Columbia, IL

All providers in Columbia, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.