Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTA TECKENBROCK
Active Sole ProprietorKRISTA TECKENBROCK is a Developmental Therapist healthcare provider located in HERRIN, Illinois. NPI 1184013955 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · HERRIN, IL
Registration Details
- NPI Number
- 1184013955
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2015 (11.541065423129 yrs)
- Last Updated
- Jan 16, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
37 DOUGLAS DRHERRIN, IL, 629484232Browse IL providers · Browse ZIP 62948
- Phone
- 6189886859
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in HERRIN, IL
| Name | Credential | NPI |
|---|---|---|
| KARLA ANNETTE BLAKE | DT | 1558484287 |
| LINDSAY BASKIN | — | 1346611506 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.