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Wylde Physical Therapy, Llc
Orthopedic Physical Therapist in Waterman, Illinois
NPI 1740406123

Wylde Physical Therapy, Llc is a Orthopedic Physical Therapist based in Waterman, IL and is specialized in Orthopedic. Wylde Physical Therapy, Llc practices in Waterman, IL. The NPI Number for Wylde Physical Therapy, Llc is 1740406123 and holds a License No. 070006362 (Illinois).

The current practice location address for Wylde Physical Therapy, Llc is 125 N. Cedar St, Waterman, IL and can be reached out via phone at 815-264-8600 and via fax at 815-264-8644.

Location: 125 N. Cedar St, Waterman, IL, 60556-0098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740406123
Provider Name
Wylde Physical Therapy, Llc
Credential
Provider Entity Type
Organization
Address
125 N. Cedar St, Waterman, IL, 60556-0098
Phone Number
815-264-8600
Fax Number
815-264-8644
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932047 01 IL BCBS GROUP ID#
institution
Provider Business Practice Location Address Details
Address
125 N. Cedar St
City
Waterman
State
Illinois
Zip
60556
Phone Number
815-264-8600
Fax Number
815-264-8644
person
Provider Business Mailing Address Details
Address
125 N. Cedar St
City
Waterman
State
Illinois
Zip
60556
Phone Number
815-264-8600
Fax Number
815-264-8644
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
070006362 (Illinois)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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