IndividualActive
Kealy Hootman, LPT
NPI 1265765937 · Physical Rehabilitation Occupational Therapist · Rockford, IL
Provider details
- NPI number
- 1265765937
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPT
- Sex
- Female
- Sole proprietor
- No
- License
- 070014723 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5100 E State St
Ste 200
Rockford, IL 61108-2913
Phone: (815) 637-2200
Fax: (815) 637-2900
Approximate (ZIP-level) locationGet directions
Mailing address
5100 E State St
Rockford, IL 61108-2913
Registry dates
- Enumerated
- 2009-09-14
- Last updated
- 2009-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.