Provider Demographics
NPI:1932418837
Name:MANUAL TOUCH PHYSICAL THERAPY
Entity Type:Organization
Organization Name:MANUAL TOUCH PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:847-910-9667
Mailing Address - Street 1:325 N MILWAUKEE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-3071
Mailing Address - Country:US
Mailing Address - Phone:847-910-9667
Mailing Address - Fax:
Practice Address - Street 1:325 N MILWAUKEE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-3071
Practice Address - Country:US
Practice Address - Phone:847-910-9667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070005575225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty