IndividualActive
Abraham Kim, PTA
NPI 1164055646 · Physical Therapy Assistant · Chicago, IL
Provider details
- NPI number
- 1164055646
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 160008327 (IL)
Mailing address
2124 W Roscoe St
Chicago, IL 60618-6220
Registry dates
- Enumerated
- 2020-02-12
- Last updated
- 2020-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.