Wylde, Michele
Wylde, Michele is an sole proprietor health care provider with primary practice located at 125 North Cedar Street , Waterman IL 60556. She recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Wylde, Michele can be contacted via phone (815) 264-8600.Contact Information
Primary practice address
125 North Cedar Street
Waterman IL 60556
Phone: (815) 264-8600
Fax: (815) 264-8600
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.014036 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 070.014036 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 070.014036 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 070.014036 | Illinois |
Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 070.014036 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070014036 | Illinois |
Profile Details
NPI number | 1962730416 |
---|---|
LBN Legal business name | Wylde, Michele |
Credentials | PT, ATC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 20th, 2009 |
Last updated | Mar 6th, 2019 - about 6 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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