Midwest Children'S Therapy, Pllc

LBN: Midwest Children'S Therapy, Pllc
Midwest Children'S Therapy, Pllc is an health care organization with primary practice located at 110 Carver Ln , East Peoria IL 61611-3052. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Midwest Children'S Therapy, Pllc can be contacted via phone (716) 308-9301, or through Nichols, Tatum via phone (716) 308-9301.

Contact Information

Primary practice address
110 Carver Ln East Peoria IL 61611-3052
Phone: (716) 308-9301
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Tatum PT, DPT
Phone: (716) 308-9301

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1881466738
LBN Legal business name Midwest Children'S Therapy, Pllc
DBA Doing business as
Authorized official Nichols, Tatum PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2023
Last updated Oct 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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