MR. Timothy Dale Kisner, M.P.T.
NPI #1689650004 in Western Springs, Illinois
Provider Information
- NPI Number
- 1689650004
- Entity Type
- Individual
- Name
- MR. Timothy Dale Kisner, M.P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- M.P.T.
- Enumeration Date
- Dec 16, 2005
- Last Updated
- Aug 13, 2014
Practice Location
- Address
- 4700 GILBERT AVE
- Address 2
- SUITE 43A
- City
- Western Springs
- State
- Illinois
- ZIP Code
- 60558-1753
- Phone
- (708) 783-1044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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