Illig, Kathleen Ann

Illig, Kathleen Ann is an individual health care provider with primary practice located at 6655 Quince Rd Ste 101 , Memphis TN 38119-8031. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Illig, Kathleen Ann can be contacted via phone (901) 755-9988.

Contact Information

Primary practice address
6655 Quince Rd Ste 101 Memphis TN 38119-8031
Phone: (901) 755-9988
Fax: (901) 755-2233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 0000003466 Tennessee

Profile Details

NPI number 1750458394
LBN Legal business name Illig, Kathleen Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1750458394 NPPES
Tennessee Other 3077388 BCBS PROVIDER NUMBER

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