Doctor Name: | MISS KELLY KLOKER |
NPI Number: | 1811365026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | IL7271 |
Business Practice Address: | 543 Orchard Str Antioch, IL - 60002 |
Business Phone Number: | 8473956100 |
Business Fax Number: | 8473956162 |
Mailing Address: | 543 Orchard Str, ANTIOCH |
State: | IL |
Postal Code: | 60002 |
Phone Number: | 8473956100 |
Fax Number: | 8473956162 |
NPI Enumeration Date: | 09/03/2015 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | IL7271 |
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 |