| Ms Kristy L Illg, PT, ATC | |
|
797 Center Ave, Martinez, CA 94553-4646 | |
| (954) 224-8248 | |
| Not Available |
| Full Name | Ms Kristy L Illg |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 797 Center Ave, Martinez, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346254182 | NPI | - | NPPES |
| PT28806 | Other | CA | PHYSICAL THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT28806 (California) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristy L Illg, PT, ATC 797 Center Ave, Martinez, CA 94553 Ph: (954) 224-8248 | Ms Kristy L Illg, PT, ATC 797 Center Ave, Martinez, CA 94553-4646 Ph: (954) 224-8248 |
Anna Dejka Lee, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5758 | |
Anne Russell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Muir Rd, Kaiser Home Health Agency, Martinez, CA 94553 Phone: 925-313-4668 Fax: 925-313-4700 | |
Deborah Hofmeister, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-313-4823 | |
Mrs. Ayn Alissa Blankenship, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5753 | |
Jennifer Leigh Raczka, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-372-2000 | |
Mrs. Susan Brandt Dorst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-313-4517 Fax: 925-313-4545 | |
Shane Fandinola, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-370-4717 |