SearchIllinois225200000X

Katie Allen-Wacker, PTA

NPI 1609103787 · on the registry since 2009

Practice

Address
212 Lindow Lane
Suite M
Marengo, IL 60152
Phone
(815) 568-8878
Fax
(815) 568-9977

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-11-10

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