KRISTA ELLIOTT

MARION, IL
NPI1831575885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160004292)
Enumeration Date2015-07-31
Last Update Date2015-07-31
Business Address
-- KRISTA ELLIOTT
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
-- KRISTA ELLIOTT
12317 BURGHOFF ST
CARBONDALE, IL 62901-0823
Phone number: 618-997-5311
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