Doctor Name: | KELLY THOMSEN |
NPI Number: | 1013335637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 800 Devon Ave Park Ridge, IL - 600684760 |
Business Phone Number: | 8472924710 |
Business Fax Number: | 8472924903 |
Mailing Address: | 1479 Lee St, DES PLAINES |
State: | IL |
Postal Code: | 600181516 |
Phone Number: | 8472997470 |
Fax Number: | 8472997560 |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |