Michael Headtke, PTA

Physical Therapy Assistant · Bolingbrook, IL

Individual Active NPI

NPI number 1326273954

Practice location

1256 W Boughton Rd
Bolingbrook, IL 60440-6568
Phone
(630) 378-9420
Fax
(630) 378-9169

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NPI record

NPI
1326273954
Entity type
Individual (Type 1)
Enumeration date
May 27, 2009
Last updated
May 27, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160-004997 IL

About Michael Headtke

Michael Headtke, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1256 W Boughton Rd, Bolingbrook, IL 60440-6568. The NPI number 1326273954 was assigned on May 27, 2009 and the record was last updated on May 27, 2009.

Michael Headtke lists a license in the registry: #160-004997 (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 Michael Headtke, PTA?

The NPI number is 1326273954.

What is the phone number of Michael Headtke?

The phone number listed for the practice location is (630) 378-9420.

Where is Michael Headtke located?

1256 W Boughton Rd, Bolingbrook, IL 60440-6568.

What is the taxonomy code for Michael Headtke?

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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