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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTINE SUE DECANT, DPT, NCS

Active

DR. KRISTINE SUE DECANT, DPT, NCS is a Physical Therapy Assistant healthcare provider located in LAKE VILLA, Illinois. NPI 1902973951 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE VILLA, IL

Registration Details

NPI Number
1902973951
Provider Type
Individual
Gender
Female
NPI Issued
Nov 28, 2006 (19.523797308769 yrs)
Last Updated
Mar 14, 2023
Licenses
070017844 (IL)
12665 (WI)
070017844 (IL)

Practice Information

Address
695 PARK AVE
LAKE VILLA, IL, 600466531
Browse IL providers · Browse ZIP 60046
Phone
2245419100
Fax
2245419070
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAKE VILLA, IL

Name Credential NPI
JOY SUZANN MARTIN DPT 1689695348
MR. MICHAEL THOMAS RODDEN PT 1699862508
MRS. TERESA MARIE BECKMAN PT 1053497859
RASHEED MIRZA BAIG 1275661514
KALPANA PATEL P.T. 1356514491
COLLEEN SKOTNICKI PT 1275860694
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.