Katelan Meredith King, PTA, CBIS

Physical Therapy Assistant · Rockford, IL

Individual Active NPI

NPI number 1043975147

Practice location

950 S Mulford Rd
Rockford, IL 61108-4274
Phone
(815) 381-8500

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NPI record

NPI
1043975147
Entity type
Individual (Type 1)
Enumeration date
November 3, 2021
Last updated
November 3, 2021
Certified
November 3, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160008275 IL

Mailing address

12825 Prairie Meadow Way
Belvidere, IL 61008-8510
Phone
(515) 991-4900

About Katelan King

Katelan Meredith King, PTA, CBIS is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 950 S Mulford Rd, Rockford, IL 61108-4274. The NPI number 1043975147 was assigned on November 3, 2021 and the record was last updated on November 3, 2021.

Katelan King lists a license in the registry: #160008275 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katelan Meredith King, PTA, CBIS?

The NPI number is 1043975147.

What is the phone number of Katelan King?

The phone number listed for the practice location is (815) 381-8500.

Where is Katelan King located?

950 S Mulford Rd, Rockford, IL 61108-4274.

What is the taxonomy code for Katelan King?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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