Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEVAN MCCULLOCH
Active Sole ProprietorPhysical Therapy Assistant · DIXON, IL
Registration Details
- NPI Number
- 1205225323
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2015 (11.296884125368 yrs)
- Last Updated
- Jan 27, 2017
- License
-
070070147 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 LINCOLN STATUE DRDIXON, IL, 610212000Browse IL providers · Browse ZIP 61021
- Phone
- 8152841700
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DIXON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. DEANNA L MUMFORD | PT | 1598744104 |
| MRS. DIANE K CAHILL | PT | 1700916269 |
| MS. LORI LYNN JARRETT | P.T. | 1689795247 |
| JOANN CHRISTINE DRAKE | P.T. | 1639291172 |
| WENDY SUE PHILLIPS | P.T. | 1093837601 |
| JEFFREY G. WHITE | MPT | 1083830202 |
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.