Individual provider · NPI-1

Johnny Hulbert

Kinesiotherapist · Hines, IL

NPI number1619503240
StatusActive
Last updated in NPPESMar 16, 2020

Details

NPI
1619503240
Entity type
Individual (NPI-1)
Name
Johnny Hulbert
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 16, 2020
Certification date
Mar 16, 2020
Last updated
Mar 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
226300000X Kinesiotherapist2062MSYes

Practice location

5000 S 5th Ave
Hines, IL 60141-3030

Phone 708-202-8387

Mailing address

Edward Hines Jr Va Hospital
5000 S 5th Avenue
Hines, IL 60141

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Kinesiotherapist providers in Hines, IL