Alt Therapy Llc | |
1313 E Harding Dr Urbana IL 61801-6452 | |
(815) 242-0701 | |
Not Available |
Full Name | Alt Therapy Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1313 E Harding Dr, Urbana, Illinois |
Authorized Official Name and Position | Tyler Koontz (CO-OWNER) |
Authorized Official Contact | 6183672138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alt Therapy Llc 1313 E Harding Dr Urbana IL 61801-6452 Ph: (815) 242-0701 | Alt Therapy Llc 1313 E Harding Dr Urbana IL 61801-6452 Ph: (815) 242-0701 |
NPI Number | 1457035677 |
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Provider Enumeration Date | 06/09/2023 |
Last Update Date | 06/09/2023 |
Certification Date | 06/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457035677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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