Individual provider · Type 1 NPI

Kelly Cunningham

Physical Therapy Assistant · Bourbonnais, IL

NPI number 1285301556 Active

Practice location

6712 N Convent St
Bourbonnais, IL 60914-1528

Fax (815) 295-8301

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160-009012 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1285301556

Kelly Cunningham's National Provider Identifier is 1285301556, issued on Aug 25, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bourbonnais, IL. The record was last updated on Nov 29, 2021.