IndividualActive
Abbie Bates, PTA
NPI 1053906958 · Physical Therapy Assistant · Collinsville, IL
Provider details
- NPI number
- 1053906958
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 160.009204 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
62 Woodland Trails Dr
Collinsville, IL 62234-5865
Phone: (815) 245-4348
Approximate (ZIP-level) locationGet directions
Mailing address
62 Woodland Trails Dr
Collinsville, IL 62234-5865
Registry dates
- Enumerated
- 2021-03-03
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.