OrganizationActive
Alt Therapy LLC
NPI 1457035677 · Clinical Social Worker · Urbana, IL
Provider details
- NPI number
- 1457035677
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Authorized official
- Tyler Koontz, Co-Owner
Mailing address
1313 E Harding Dr
Urbana, IL 61801-6452
Registry dates
- Enumerated
- 2023-06-09
- Last updated
- 2023-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.