IndividualActive
Andrew Haverstock
NPI 1407074693 · Pediatric Physical Therapist · Frankfort, IL
Provider details
- NPI number
- 1407074693
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 070012822 (IL)
Practice location
344 S Walnut Ridge Ct
Frankfort, IL 60423-2129
Phone: (219) 229-0322
Fax: (708) 479-2111
Mailing address
344 S Walnut Ridge Ct
Frankfort, IL 60423-2129
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2015-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.