Organization
MADELI THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLEE PURCELL DT (INDIVIDUAL THERAPIST)
(217) 714-8341
Entity
Organization
Contact information
Practice address
19 COUNTRY CLUB ESTES, SULLIVAN, IL 61951
(217) 714-8341
Mailing address
19 COUNTRY CLUB ESTES, SULLIVAN, IL 61951
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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