Healthcare Provider Details

I. General information

NPI: 1750150694
Provider Name (Legal Business Name): ANNA YEGLINSKI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA KRINKE

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3149 CROOKS RD
TROY MI
48084-1633
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 248-402-7741
  • Fax: 248-482-2982
Mailing address:
  • Phone: 630-575-1914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501303085
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: