Individual
MARCI TYRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA/L
Contact information
Practice address
800 N MARKET ST, KNOXVILLE, IL 61448-1096
(309) 289-2338
Mailing address
800 N MARKET ST, KNOXVILLE, IL 61448-1096
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005820
IL
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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