Organization
CREATIVE THERAPEUTICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN THERESE BATALDEN DPT (OWNER)
(815) 758-5508
Entity
Organization
Contact information
Practice address
400 E HILLCREST DR STE 110, DEKALB, IL 60115-2470
(815) 758-5508
(815) 758-5537
Mailing address
400 E HILLCREST DR STE 110, DEKALB, IL 60115-2470
(815) 758-5508
(815) 758-5537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-005903
IL
225100000X
Physical Therapist
070-013129
IL
225100000X
Physical Therapist
070-013157
IL
225200000X
Physical Therapy Assistant
160-000589
IL
225700000X
Massage Therapist
227-001277
IL
225X00000X
Occupational Therapist
056-005205
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1921441
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/12/2007
Last updated
08/20/2012
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