Kristie L Boll, DPT | |
321 Washington St, Prophetstown, IL 61277-1105 | |
(815) 537-8899 | |
(815) 537-8802 |
Full Name | Kristie L Boll |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 321 Washington St, Prophetstown, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861663023 | NPI | - | NPPES |
070-016288 | Other | IL | ILLINOIS PT LICENSE NO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-016288 (Illinois) | Primary |
225100000X | Physical Therapist | 004225 (Iowa) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rock Valley Physical Therapy Center | 9638087877 | 191 |
Rock Valley Physical Therapy Center | 9638087877 | 191 |
Provider Name | Rock Valley Physical Therapy Center |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20040630000390 |
Mailing Address | Practice Location Address |
---|---|
Kristie L Boll, DPT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Kristie L Boll, DPT 321 Washington St, Prophetstown, IL 61277-1105 Ph: (815) 537-8899 |
Rock Valley Physical Therapy Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Washington St, Prophetstown, IL 61277 Phone: 815-537-8899 Fax: 815-537-8802 | |
Richa S Vaidya, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E 3rd St, Prophetstown, IL 61277 Phone: 847-347-5254 | |
Brooke Russell, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 321 Washington St, Prophetstown, IL 61277 Phone: 815-537-8899 |