Healthcare Provider Details
I. General information
NPI: 1487263851
Provider Name (Legal Business Name): PRIORITY YOU PHYSICAL THERAPY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2020
Last Update Date: 07/30/2020
Certification Date: 07/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2101 ALPINE WAY
PLAINFIELD IL
60586-5079
US
IV. Provider business mailing address
2101 ALPINE WAY
PLAINFIELD IL
60586-5079
US
V. Phone/Fax
- Phone: 815-955-7882
- Fax:
- Phone: 815-955-7882
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
CURTIS
KAUN
Title or Position: FOUNDER/OWNER
Credential: PT
Phone: 815-955-7582