Individual provider · Type 1 NPI

Konner Sloane Street, DPT

Physical Therapist · Maryville, IL

NPI number 1780453308 Active

Practice location

6800 State Route 162
Maryville, IL 62062

Call (618) 288-5711 Map

Other practice locations

  • 71 Orphanage Rd, Fort Mitchell, KY 41017-3006 · (859) 331-0880

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X008995 (KY)
Pediatric Physical Therapist 2251P0200X008995 (KY)
Physical Therapist Primary 225100000X070.029219 (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 1780453308

Konner Sloane Street, DPT's National Provider Identifier is 1780453308, issued on Dec 22, 2023. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Maryville, IL. The record was last updated on Aug 27, 2025.