CARLY MICHELLE MACHACEK

PEORIA, IL
NPI1700446721
Former NameCARLY MICHELLE SLAGEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist Orthopedic
(Licence: MO  2019031259)
Additional Taxonomies225100000X Physical Therapist
2251X0800X Physical Therapist Orthopedic
(Licence: KS  11-06393)
Enumeration Date2019-06-20
Last Update Date2023-03-07
Business Address
CARLY MICHELLE MACHACEK DPT
9901 N KNOXVILLE AVE STE D
PEORIA, IL 61615-1433
Phone number: 309-243-1989
Mailing Address
CARLY MICHELLE MACHACEK DPT
850 43RD AVE STE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070