Recker, Alissa

Recker, Alissa is an individual health care provider with primary practice located at 1111 Trinity Ln Suite 111, Bloomington IL 61704-8111. 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. Recker, Alissa can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Ln Suite 111 Bloomington IL 61704-8111
Phone: (309) 663-6461
Fax: (309) 661-8107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070022820 Illinois

Profile Details

NPI number 1053850495
LBN Legal business name Recker, Alissa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2017
Last updated Feb 17th, 2017 - about 9 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 1053850495 NPPES
Other 225100000X TAXONOMY CODE
Other 070022820 TAXONOMY CODE

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