Steven G Metternich

Organization Active NPI Physical Therapist · Marshall, IL

NPI 1629248240 · NPPES record last updated Mar 11, 2008

Key facts

NPI
1629248240
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
STEVEN G METTERNICH
Practice address
410 N 2ND St
Marshall, IL 62441-1010
Phone
(217) 826-2365
Fax
(217) 826-8120
NPI assigned
Mar 11, 2008
Organization subpart
No

Authorized official

Name
Mr. Steven G Metternich, PT
Title
Owner
Phone
(217) 826-2365

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X IL Yes

Addresses

Primary practice location

410 N 2ND St
Marshall, IL 62441-1010

Mailing address

410 N 2ND St
Marshall, IL 62441-1010
Phone (217) 826-2365

Other identifiers

IdentifierTypeStateIssuer
DF1743OtherILRAILROAD MEDICARE PIN
DF8520OtherILNEW RAILROAD MEDICARE PIN

Other providers in Marshall, IL

All providers in Marshall, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.