Hootman, Kealy A

Hootman, Kealy A is an individual health care provider with primary practice located at 5100 E State St Ste 200, Rockford IL 61108-2913. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Hootman, Kealy A can be contacted via phone (815) 637-2200.

Contact Information

Primary practice address
5100 E State St Ste 200 Rockford IL 61108-2913
Phone: (815) 637-2200
Fax: (815) 637-2900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 070014723 Illinois

Profile Details

NPI number 1265765937
LBN Legal business name Hootman, Kealy A
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2009
Last updated Sep 14th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265765937 NPPES
Illinois Other 070014723 LICENSED PHYSICAL THERAPIST

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