Laura Rose Fuehne, PT, DPT
Individual provider Active NPI Physical Therapist · Aviston, IL
NPI 1609440346 · NPPES record last updated May 17, 2021
Key facts
- NPI
- 1609440346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070025708 (IL)
- Practice address
- 450 W 1St St
Aviston, IL 62216-3440 - Phone
- (618) 228-7615
- NPI assigned
- May 17, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070025708 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070025708 | IL | Yes |
Addresses
Primary practice location
450 W 1St St
Aviston, IL 62216-3440
Mailing address
10 Crimson CT
Aviston, IL 62216-3430
Other providers in Aviston, IL
- Blair Medical LLC
- Ronald Cyril Boeser
- Sadie Rakers Buehne
- Rebecca Ann Davis
- Juliet Rose Fuehne
- Spencer Daniel Fuehne
- Lauren Henrichs
- Oswald Pediatric Therapy LLC
- Ashley N Oswald
- Palladian Aviston SNF LLC
All providers in Aviston, 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 May 17, 2021. 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.