OrganizationActive
Central Illinois Physical Therapy Professionals, Ltd
NPI 1124246939 · Physical Therapist · Sullivan, IL
Provider details
- NPI number
- 1124246939
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Richard Kruckeberg, Owner(217) 345-1245
- License
- 070002766 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2 E Harrison St
Sullivan, IL 61951-1905
Phone: (217) 345-1245
Fax: (217) 345-1253
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 101
Sullivan, IL 61951-0101
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.