SearchIllinoisPhysical Therapist

Amy Koudelka

NPI 1215101191 · on the registry since 2008

Practice

Address
1300 N Market St
Sparta, IL 62286
Phone
(618) 443-2177
Fax
(618) 443-4731
Organisation at this address
Sparta Community Hospital D/B/A Quality Healthcare Clinics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
Physical Therapist
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois