Provider Demographics
NPI:1659011468
Name:KELDERMANS THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:KELDERMANS THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KELDERMANS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, OCS, FAAOMPT
Authorized Official - Phone:217-899-2270
Mailing Address - Street 1:4000 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62711-7434
Mailing Address - Country:US
Mailing Address - Phone:217-899-2270
Mailing Address - Fax:217-953-4129
Practice Address - Street 1:4000 WESTGATE DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62711-7434
Practice Address - Country:US
Practice Address - Phone:217-899-2270
Practice Address - Fax:217-953-4129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2023-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy