Andrea Elizabeth Heslet
Individual provider Active NPI Physical Therapy Assistant · Peru, IL
NPI 1851994412 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1851994412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.008888 (IL)
- Practice address
- 2811 6TH St
Peru, IL 61354-2417 - Phone
- (815) 878-1678
- NPI assigned
- Nov 17, 2020
- 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 |
|---|---|---|---|
| 160.008888 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.008888 | IL | Yes |
Addresses
Primary practice location
2811 6TH St
Peru, IL 61354-2417
Mailing address
2811 6TH St
Peru, IL 61354-2417
Phone (815) 878-1678
Other providers in Peru, IL
- Mark Alan Henry
- Heritage Manor - Peru, LLC
- Heritage Manor - Peru, LLC
- Kendra Renee Herman
- Debra Herz
- Highland Park CVS LLC
- Highland Park CVS LLC
- Shannon Lynn Hiller
- Hines Vamc
- Horizon House of Illinois Valley
All providers in Peru, 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 Nov 17, 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.