Satellite Physical Therapy
Physical Therapist in Chicago, IL. Organization (NPI-2).
NPI number1124601331
StatusActive
Last updated in NPPESMay 4, 2021
Details
- NPI
- 1124601331
- Entity type
- Organization (NPI-2)
- Legal business name
- Satellite Physical Therapy
- Organization subpart
- No
- Enumeration date
- May 4, 2021
- Certification date
- May 4, 2021
- Last updated
- May 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | – | – |
Practice location
600 N McClurg CtChicago, IL 60611-3044
Phone 765-592-2283
Mailing address
600 N McClurg Ct Apt 1712aChicago, IL 60611-6774
Authorized official
Kyle Patrick Fahey
Founder/Physical Therapist
7655922283
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