Doctor Name: | ASHLEY J KANELOS |
NPI Number: | 1073982971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 070021555 |
Business Practice Address: | 111 W 3rd St Elmhurst, IL - 601262798 |
Business Phone Number: | 6304153040 |
Business Fax Number: | 6304153043 |
Mailing Address: | 111 W 3rd St, ELMHURST |
State: | IL |
Postal Code: | 601262798 |
Phone Number: | 6304153040 |
Fax Number: | 6304153043 |
NPI Enumeration Date: | 09/21/2015 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070021555 |
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 |