Provider Demographics
NPI:1952151979
Name:BINDER, KIRSTEN FAITH VERPLOEGH (LMT)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:FAITH VERPLOEGH
Last Name:BINDER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:HOPE
Other - Middle Name:
Other - Last Name:BINDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:133 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-1588
Mailing Address - Country:US
Mailing Address - Phone:847-306-0623
Mailing Address - Fax:
Practice Address - Street 1:1 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-2490
Practice Address - Country:US
Practice Address - Phone:970-462-7724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227022247225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist