Search › Illinois › 225X00000X
Jaclyn Evans, OTR/L
NPI 1457840621 · on the registry since 2018
Practice
- Address
- 875 W Mckinley Ave
Decatur, IL 62526 - Phone
- (217) 872-1282
- Organisation at this address
- Eagle Ridge Of Decatur, Lp
Healthpro Heritage Rehab & Fitness, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- TN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-20
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