Doctor Name: | KELLI TIPPLE |
NPI Number: | 1912239732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 070010199 |
Business Practice Address: | 9789 Cambridge Cir Mokena, IL - 604487723 |
Business Phone Number: | 7089067565 |
Business Fax Number: | 7089955679 |
Mailing Address: | 9789 Cambridge Cir, MOKENA |
State: | IL |
Postal Code: | 604487723 |
Phone Number: | 7089067565 |
Fax Number: | 7089955679 |
NPI Enumeration Date: | 02/03/2010 |
NPI Last Update Date: | 02/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070010199 |
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 |