IndividualActive
Alyssa Pruemer
NPI 1376714964 · Developmental Therapist · Shumway, IL
Provider details
- NPI number
- 1376714964
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2322901 (IL)
Mailing address
20445 N 1060th St
Shumway, IL 62461-2250
Registry dates
- Enumerated
- 2008-03-21
- Last updated
- 2008-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.