Boardman, Kerri

Boardman, Kerri is an individual health care provider with primary practice located at 700 W Jefferson St , Shorewood IL 60431-7608. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Boardman, Kerri can be contacted via phone (815) 725-1666.

Contact Information

Primary practice address
700 W Jefferson St Shorewood IL 60431-7608
Phone: (815) 725-1666
Fax: (815) 725-1677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-014054 Illinois

Profile Details

NPI number 1093863367
LBN Legal business name Boardman, Kerri
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093863367 NPPES
Illinois Other 070-014054 PT STATE LICENSE #

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