Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ILDE BOY TAN VELASCO, PT, DPT
Active Sole ProprietorMR. ILDE BOY TAN VELASCO, PT, DPT is a Physical Therapy Assistant healthcare provider located in GRANITE CITY, Illinois. NPI 1316674112 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRANITE CITY, IL
Registration Details
- NPI Number
- 1316674112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2022 (4.0233900737483 yrs)
- Last Updated
- Aug 2, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3500 CENTURY DRGRANITE CITY, IL, 620402166Browse IL providers · Browse ZIP 62040
- Phone
- 6188772700
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRANITE CITY, IL
| Name | Credential | NPI |
|---|---|---|
| COREY VOSS | PT | 1720043029 |
| MELANIE M KOZAK | PT, DPT | 1093020521 |
| MR. TIMOTHY W BURGESS | PT | 1982940078 |
| MR. WALTER P GRIFFITH | P.T. | 1033455712 |
| MRS. CARLA ANN BUZAN | PT | 1396081071 |
| MR. TIMOTHY J KNOX | PT, CHT | 1194153627 |
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.