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Organization
KATHALYNAS SPINE, SPORT & REHABILITATION LLC
Active
Organization
KATHALYNAS SPINE, SPORT & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JOE KATHALYNAS DC (OWNER)
(618) 932-2137
Entity
Organization
Contact information
Practice address
206 E CHURCH ST STE A, BENTON, IL 62812-2239
(618) 435-9393
(618) 937-3500
Mailing address
206 E CHURCH ST STE A, BENTON, IL 62812-2239
(618) 435-9393
(618) 937-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
04/12/2022
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