Kelly Haeflinger, PT, MHS
Individual provider Active NPI Physical Therapist · Marengo, IL
NPI 1528295573 · NPPES record last updated Jun 17, 2009
Key facts
- NPI
- 1528295573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-010889 (IL)
- Practice address
- 19019 Raven Hills Dr
Marengo, IL 60152-4308 - Phone
- (815) 923-5501
- Fax
- (815) 923-4645
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 070-010889 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Marshall Board of Education | Past | Accepting new patients | |
| Feltz Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-010889 | IL | Yes |
Addresses
Primary practice location
19019 Raven Hills Dr
Marengo, IL 60152-4308
Mailing address
19019 Raven Hills Dr
Marengo, IL 60152-4308
Phone (815) 923-5501
Other providers in Marengo, IL
- Kristine Evans
- Rebecca Lynn Feuerborn
- Kiefer Gill
- Shannon Leigh Gilmore
- Goss Consulting LLC
- Diane Carole Henning
- Shelby Hernandez
- Suzanne D. Hester
- Lynsey Hoeske
- Brent Andrew Holcomb
All providers in Marengo, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2009. 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.