MEDICARE: AUBREY MUSSER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070017217	IL

General Provider Information

NPI Number	:	1245466085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY MUSSER DPT

Provider Business Mailing Address
First Line	:	600 OAKMONT LN STE 600C
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-5548
Country	:	US
Telephone Number	:	630-575-6250
Fax Number	:	630-575-7450

Provider Business Practice Location Address
First Line	:	2872 US HIGHWAY 34
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-8346
Country	:	US
Telephone Number	:	630-554-8890
Fax Number	:	630-554-8803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	04/11/2018

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