Provider Demographics
NPI:1104710540
Name:MUELLER, SELENA (DPT)
Entity type:Individual
Prefix:
First Name:SELENA
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-6130
Mailing Address - Country:US
Mailing Address - Phone:630-445-3215
Mailing Address - Fax:
Practice Address - Street 1:676 N SAINT CLAIR ST STE 950
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2955
Practice Address - Country:US
Practice Address - Phone:312-694-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist