MR. Kory D Risner, PT, DPT

NPI #1831447150 in Flossmoor, Illinois

Provider Information

NPI Number: 1831447150
Entity Type: Individual
Name: MR. Kory D Risner, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Aug 16, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 19550 GOVERNORS HWY
Address 2: C/O THERAPY DEPARTMENT
City: Flossmoor
State: Illinois
ZIP Code: 60422-2125
Phone: (708) 915-8465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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