Donna Krenz, DT
Individual provider Active NPI Developmental Therapist · Ottawa, IL
NPI 1700907201 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700907201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- DK34890806P (IL)
- Practice address
- 1013 Adams St
Ottawa, IL 61350-4304 - Phone
- (815) 434-0857
- Fax
- (815) 434-2260
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| DK34890806P | IL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starved Rock Regional Center for Therapy & Child Development | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | DK34890806P | IL | Yes |
Addresses
Primary practice location
1013 Adams St
Ottawa, IL 61350-4304
Mailing address
1013 Adams St
Ottawa, IL 61350-4304
Other providers in Ottawa, IL
- Elizebeth M Knop
- Amy L Koehler
- Ushasri Koganti
- Kokoro Counseling, LLC.
- Mallory Komater
- Kroger Limited Partnership I
- Karen A Krolak
- Laura L Kula
- Sheera Lall
- Lori Ann Lane
All providers in Ottawa, IL · Developmental 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 Jul 8, 2007. 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.