Individual
KRISTA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 STARDUST DR, SHERMAN, IL 62684-9763
(217) 744-9891
Mailing address
100 STARDUST DR, SHERMAN, IL 62684-9763
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006090
IL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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