MEDICARE: BENDING PHYSICAL THERAPY AND WELLNESS PLLC

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

General Provider Information

NPI Number	:	1679316814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENDING PHYSICAL THERAPY AND WELLNESS PLLC

Provider Business Mailing Address
First Line	:	309 E RAND RD # 215
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 FOX RUN DR
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-2763
Country	:	US
Telephone Number	:	224-324-4556
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	KELSEY BENDING
Credential	:	PT
Telephone Number	:	224-324-4556

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

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