Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ADAM JOSEPH MOODY, PTA
Active Sole ProprietorMR. ADAM JOSEPH MOODY, PTA is a Physical Therapy Clinic healthcare provider located in KANKAKEE, Illinois. NPI 1194237677 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · KANKAKEE, IL
Registration Details
- NPI Number
- 1194237677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2017 (8.8149920222754 yrs)
- Last Updated
- Oct 24, 2017
- License
-
160006509 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7 DURELL DRKANKAKEE, IL, 609016001Browse IL providers · Browse ZIP 60901
- Phone
- 0000000000
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
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.