Individual
KALIE N TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 N 13TH ST, HERRIN, IL 62948-2839
(618) 942-7391
Mailing address
617 W REED ST, BENTON, IL 62812-1168
(618) 603-6867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008653
IL
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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