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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPORTS MEDICINE CLINIC OF MACON COUNTY

Active Organization

SPORTS MEDICINE CLINIC OF MACON COUNTY is a Physical Therapy Assistant organization located in DECATUR, Illinois. NPI 1174594717 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DECATUR, IL

Registration Details

NPI Number
1174594717
Provider Type
Organization
NPI Issued
Jan 31, 2006 (20.50647779679 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
1900 E LAKE SHORE DR
SUITE 150
DECATUR, IL, 625213824
Browse IL providers · Browse ZIP 62521
Phone
2174286222
Fax
2174282617
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Organizations in DECATUR, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.