# DIRECT PHYSIOHEALTH, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831758804
- **Authorized official:** MELISSA PALMER PT (OWNER)
- **Authorized official phone:** (312) 219-5440

## Contact information

- **Practice address:** 658 W SAWYER ST, DECATUR, IL 62526-4059
- **Practice address phone:** (312) 219-5440
- **Practice address fax:** (866) 895-4081
- **Mailing address:** 658 W SAWYER ST, DECATUR, IL 62526-4059
- **Mailing address phone:** (312) 219-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 06/12/2019