Individual
MS. KATI ELIZABETH EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-7689
Mailing address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-7689
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009963
IL
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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