Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MADELYN JUSTI ANIMASHAUN, DPT
Active Sole ProprietorPhysical Therapy Assistant · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1669214458
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2024 (1.905421919883 yrs)
- Last Updated
- Jun 11, 2024
- License
-
070.028357 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2133 S STATE ROUTE 157EDWARDSVILLE, IL, 620253691Browse IL providers · Browse ZIP 62025
- Phone
- 6186508337
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in EDWARDSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER JOHN AMICK | PT MS | 1659481737 |
| MR. MARK S SLAUGHTER | PT | 1912009739 |
| MISS AMANDA HESSEL | PT | 1942365267 |
| SEAN CAMPBELL | MASTERS | 1508907395 |
| RACHAEL DIANE LYNN | PT | 1265556245 |
| ELLEN DEGEN MILTON | PT | 1649509324 |
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.