Organization
SMALL STEPS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA JULIE KOCH P.T. (OWNER)
(815) 538-5137
Entity
Organization
Contact information
Practice address
208 N MAIN STREET, TROY GROVE, IL 61372
(815) 538-5137
(815) 538-5137
Mailing address
208 N MAIN STREET, TROY GROVE, IL 61372
(815) 538-5137
(815) 538-5137
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005032019
BCBS #
IL
01
—
11445116
CAQH PROVIDER ID
IL
Enumeration date
01/23/2007
Last updated
08/22/2020
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