The Well Down The Lane
Clinic/Center, Physical Therapy in Casey, IL. Organization (NPI-2).
NPI number1841908704
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1841908704
- Entity type
- Organization (NPI-2)
- Legal business name
- The Well Down The Lane
- Organization subpart
- No
- Enumeration date
- Nov 9, 2022
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
20 Ashley LnCasey, IL 62420-2178
Phone 217-609-0009
Mailing address
20 Ashley LnCasey, IL 62420-2178
Phone 217-609-0009
Authorized official
Leslie Richardson
Office Manager
2176090009
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