Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYCE FORTNER, PT, DPT
ActivePhysical Therapy Assistant · PANA, IL
Registration Details
- NPI Number
- 1326300609
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2012 (13.877222282707 yrs)
- Last Updated
- Jul 8, 2021
- License
-
070.018169 (IL)
Practice Information
- Address
-
101 E 9TH STPANA, IL, 625571716Browse IL providers · Browse ZIP 62557
- Phone
- 2175626238
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PANA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. PATRA DAWN DEERE | P.T. | 1497969901 |
| MOLLIE RAE BEYERS | PT, DPT | 1891992368 |
| MS. MAIDEN LOUISE AXALAN BACOLOD | PT | 1306093661 |
| GARRETT CLAXON | PT, DPT | 1043824584 |
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.