SearchIllinois235Z00000X

Rebecca Mudd, ST

NPI 1619146487 · on the registry since 2008

Practice

Address
310 W 3rd St
Waterloo, IL 62298
Phone
(618) 520-9907
Fax
(618) 939-6075

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-04-16

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