Mcclinton, Tailetha D
Mcclinton, Tailetha D is an individual health care provider with primary practice located at 2200 E Washington St , Bloomington IL 61701-4364. 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. Mcclinton, Tailetha D can be contacted via phone (309) 662-3311.Contact Information
Primary practice address
2200 E Washington St
Bloomington IL 61701-4364
Phone: (309) 662-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 07001895 | Illinois |
Profile Details
| NPI number | 1376718783 |
|---|---|
| LBN Legal business name | Mcclinton, Tailetha D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Nov 17th, 2021 - about 4 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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