Organization
PHYSICAL THERAPY AND SPORTS INJURY REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WALTER KAUMEYER P.T. (CO-OWNER)
(708) 335-1415
Entity
Organization
Contact information
Practice address
13114 WESTERN AVE, BLUE ISLAND, IL 60406-2439
(708) 824-0515
(708) 824-0517
Mailing address
13114 WESTERN AVE, BLUE ISLAND, IL 60406-2439
(708) 824-0515
(708) 824-0517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/26/2007
Last updated
09/11/2025
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