Sylvia Mary McKinley, PTA

Individual provider Active NPI Physical Therapy Assistant · Whiting, IN

NPI 1578760971 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1578760971
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
06001816A (IN)
Practice address
1000 114TH St
Whiting, IN 46394-1048
Phone
(219) 659-2770
NPI assigned
Jun 28, 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
06001816AINMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06001816A IN Yes

Addresses

Primary practice location

1000 114TH St
Whiting, IN 46394-1048

Mailing address

17132 Roy St
Lansing, IL 60438-1345
Phone (708) 921-5535

Other providers in Whiting, IN

All providers in Whiting, IN · Physical Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.