Organization
PHYSICAL THERAPY AND SPORTS INJURY REHABILITATION, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WALTER KAUMEYER (CO-OWNER)
(708) 335-1415
Entity
Organization
Contact information
Practice address
1816 170TH ST, HAZEL CREST, IL 60429-1451
(708) 335-1415
(708) 335-0115
Mailing address
1816 170TH ST, HAZEL CREST, IL 60429-1451
(708) 335-1415
(708) 335-0115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/12/2006
Last updated
09/11/2025
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