Timothy Dale Kisner, M.P.T.
Physical Therapist in Western Springs, IL. Individual provider (NPI-1).
NPI number1689650004
StatusActive
Last updated in NPPESAug 13, 2014
Details
- NPI
- 1689650004
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy Dale Kisner
- Credential
- M.P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2005
- Last updated
- Aug 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070-011706 | IL | Yes |
Practice location
4700 Gilbert AveSuite 43a
Western Springs, IL 60558-1753
Phone 708-783-1044 · Fax 708-783-1048
Mailing address
205 W Wacker DrSuite 1020
Chicago, IL 60606-1216
Phone 312-640-0329
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All 26 Physical Therapist providers in Western Springs · All 345 providers in Western Springs
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