Healthcare Provider Details

I. General information

NPI: 1144416736
Provider Name (Legal Business Name): JOYNER THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2907 WILLIAMSON COUNTY PKWY
MARION IL
62959-5256
US

IV. Provider business mailing address

607 S COMMERCIAL ST SUTIE B
HARRISBURG IL
62946-2345
US

V. Phone/Fax

Practice location:
  • Phone: 618-998-9894
  • Fax: 618-998-9993
Mailing address:
  • Phone: 618-252-7171
  • Fax: 618-252-7272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: LANA R JOYNER
Title or Position: CO-OWNER/ADM
Credential:
Phone: 618-998-9894