Individual provider · Type 1 NPI

Amy Lynn Koudelka

Physical Therapist · Sparta, IL

NPI number 1215101191 Active

Practice location

1300 N Market St
Sparta, IL 62286-1048

Fax (618) 443-4731

Mailing address

818 E Broadway St, PO Box 297
Sparta, IL 62286-1820

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X070010691 (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 1215101191

Amy Lynn Koudelka's National Provider Identifier is 1215101191, issued on Apr 22, 2008. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Sparta, IL. The record was last updated on Jul 5, 2012.