Kimberly Correll, PTA

Physical Therapy Assistant · Noble, IL

Individual Active NPI

NPI number 1679248090

Practice location

1486 E Hurricane Ln
Noble, IL 62868-2008
Phone
(618) 676-5789

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NPI record

NPI
1679248090
Entity type
Individual (Type 1)
Enumeration date
August 9, 2021
Last updated
August 9, 2021
Certified
August 9, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160007078 IL

About Kimberly Correll

Kimberly Correll, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1486 E Hurricane Ln, Noble, IL 62868-2008. The NPI number 1679248090 was assigned on August 9, 2021 and the record was last updated on August 9, 2021.

Kimberly Correll lists a license in the registry: #160007078 (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 Kimberly Correll, PTA?

The NPI number is 1679248090.

What is the phone number of Kimberly Correll?

The phone number listed for the practice location is (618) 676-5789.

Where is Kimberly Correll located?

1486 E Hurricane Ln, Noble, IL 62868-2008.

What is the taxonomy code for Kimberly Correll?

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.