IndividualActive
Clinton Witsman, DPT
NPI 1235432568 · Physical Therapist · Mahomet, IL
Provider details
- NPI number
- 1235432568
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 070018210 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1504 Patton Dr
Unit 4
Mahomet, IL 61853-8126
Phone: (217) 590-0340
Fax: (217) 590-0342
Approximate (ZIP-level) locationGet directions
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Registry dates
- Enumerated
- 2010-12-08
- Last updated
- 2016-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.