Kristie Ann Haubrich
Individual provider Active NPI Physical Therapy Assistant · Barry, IL
NPI 1851988554 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1851988554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.000484 (IL)
- Practice address
- 1313 Pratt St
Barry, IL 62312-1365 - Phone
- (217) 335-2326
- NPI assigned
- Dec 29, 2020
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 160.000484 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.000484 | IL | Yes |
Addresses
Primary practice location
1313 Pratt St
Barry, IL 62312-1365
Mailing address
2408 Summer CRK
Quincy, IL 62305-8924
Phone (217) 257-6329
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kh60625 |
Other providers in Barry, IL
- Barry Dental Care PLCC
- Barry Dental Clinic
- Barry Healthcare and Senior Living LLC
- Dianna Michelle Castleberry
- Alyssa Garde
- Ruth A Holman
- Impact Medical Transport
- Ashley Lefringhouse
- Stephen T Liesen
- Misti Jo McCallister
All providers in Barry, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2020. 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.