Individual
KAITLYN LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S LAFAYETTE ST, MACOMB, IL 61455-2289
(309) 837-3911
Mailing address
9460 N 2100TH RD, SCIOTA, IL 61475-8426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006645
IL
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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