Boll, Kristie L

Boll, Kristie L is an individual health care provider with primary practice located at 321 Washington St , Prophetstown IL 61277-1105. 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. Boll, Kristie L can be contacted via phone (815) 537-8899.

Contact Information

Primary practice address
321 Washington St Prophetstown IL 61277-1105
Phone: (815) 537-8899
Fax: (815) 537-8802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-016288 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004225 Iowa

Profile Details

NPI number 1861663023
LBN Legal business name Boll, Kristie L
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Apr 11th, 2012 - about 14 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 1861663023 NPPES
Illinois Other 070-016288 ILLINOIS PT LICENSE NO

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