IndividualActive
Brenda Tatham, PTA
NPI 1851531495 · Physical Therapy Assistant · Freeport, IL
Provider details
- NPI number
- 1851531495
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160002443 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1010 Fairway Dr
Freeport, IL 61032
Phone: (815) 599-6000
Approximate (ZIP-level) locationGet directions
Mailing address
1045 W Stephenson St
Freeport, IL 61032-4864
Registry dates
- Enumerated
- 2009-02-23
- Last updated
- 2009-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.