Central Illinois Physical Therapy Professionals, Ltd

NPI #1124246939 in Sullivan, Illinois

Provider Information

NPI Number: 1124246939
Entity Type: Organization
Organization Name: Central Illinois Physical Therapy Professionals, Ltd
Primary Specialty: Physical Therapist
Enumeration Date: Apr 24, 2007
Last Updated: Dec 10, 2025

Practice Location

Address: 2 E HARRISON ST
City: Sullivan
State: Illinois
ZIP Code: 61951-1905
Phone: (217) 345-1245

Authorized Official

Name: RICHARD WARREN KRUCKEBERG, PT
Title: OWNER
Phone: (217) 345-1245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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