Individual provider · Type 1 NPI

Tasha Renee Mironenko, PT, CLT-LANA

Physical Therapist · Melrose Park, IL

NPI number 1194076109 Active

Practice location

290 W North Ave
Melrose Park, IL 60160-1675

Call (800) 974-4378 Map

Fax (630) 515-1536

Mailing address

24014 W Renwick Rd Ste 206
Plainfield, IL 60544-8711

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X070.011252 (IL)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1194076109

Tasha Renee Mironenko, PT, CLT-LANA's National Provider Identifier is 1194076109, issued on Oct 1, 2012. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Melrose Park, IL. The record was last updated on Sep 29, 2026.