| Mrs Amy Lynn Koudelka, | |
|
1300 N Market St, Sparta, IL 62286-1048 | |
| (618) 443-2177 | |
| (618) 443-4731 |
| Full Name | Mrs Amy Lynn Koudelka |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1300 N Market St, Sparta, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215101191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070010691 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy Lynn Koudelka, 818 E Broadway St, Po Box 297, Sparta, IL 62286-1820 Ph: (618) 443-2177 | Mrs Amy Lynn Koudelka, 1300 N Market St, Sparta, IL 62286-1048 Ph: (618) 443-2177 |
Catherine Rohlfing, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Melmar Dr, Sparta, IL 62286 Phone: 618-443-2122 | |
Mark Alan Ankenbrand, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 N. Market, Sparta, IL 62286 Phone: 618-443-2177 Fax: 618-443-4731 | |
Empowerme Rehabilitation Illinois, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 211 N Market St, Sparta, IL 62286 Phone: 844-502-7996 | |
Andra Marie Dehn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 N Market St, Sparta, IL 62286 Phone: 618-443-2177 Fax: 618-443-4731 |