Evelyn Kerrick Eldridge, PTA

Physical Therapy Assistant · Springfield, IL

Individual Active NPI

NPI number 1730345703

Practice location

3400 W Washington St
Springfield, IL 62711-7917
Phone
(217) 787-9600

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NPI record

NPI
1730345703
Entity type
Individual (Type 1)
Enumeration date
July 30, 2008
Last updated
July 30, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 150.002827 IL

Mailing address

1501 S Pasfield St
Springfield, IL 62704-3711
Phone
(217) 528-5989

About Evelyn Eldridge

Evelyn Kerrick Eldridge, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3400 W Washington St, Springfield, IL 62711-7917. The NPI number 1730345703 was assigned on July 30, 2008 and the record was last updated on July 30, 2008.

Evelyn Eldridge lists a license in the registry: #150.002827 (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 Evelyn Kerrick Eldridge, PTA?

The NPI number is 1730345703.

What is the phone number of Evelyn Eldridge?

The phone number listed for the practice location is (217) 787-9600.

Where is Evelyn Eldridge located?

3400 W Washington St, Springfield, IL 62711-7917.

What is the taxonomy code for Evelyn Eldridge?

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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