Individual provider · Type 1 NPI

Mia Anica Khey Fuentebella, PT

Physical Therapist · Danville, IL

NPI number 1710558465 Active

Practice location

812 N Logan Ave
Danville, IL 61832-3752

Mailing address

4510 Nicklaus Dr Apt 105
Champaign, IL 61822-1489

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

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 1710558465

Mia Anica Khey Fuentebella, PT's National Provider Identifier is 1710558465, issued on Jul 5, 2021. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Danville, IL. The record was last updated on Jul 5, 2021.