Provider Demographics
NPI:1780857664
Name:TIMMRECK, HOLLY LYNNE (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:LYNNE
Last Name:TIMMRECK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 ALLEGRE CIR
Mailing Address - Street 2:APT 215
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2679
Mailing Address - Country:US
Mailing Address - Phone:813-480-5571
Mailing Address - Fax:
Practice Address - Street 1:2422 W MAIN ST
Practice Address - Street 2:STE 3A
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-1010
Practice Address - Country:US
Practice Address - Phone:630-513-6781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics