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Individual
MISTI L. FERGUSON
Active
Individual
MISTI L. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03722
IA
225100000X
Physical Therapist
Primary
070013897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070-013897
ILLINOIS PT LICENSE NO
IL
01
—
1245373166
GROUP NPI NUMBER
IL
Enumeration date
08/16/2005
Last updated
03/17/2026
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