IndividualActive
Brad Moltrup, P.T. M.S.
NPI 1871765370 · Physical Therapist · Canton, IL
Provider details
- NPI number
- 1871765370
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T. M.S.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2081 N Main St
Canton, IL 61520-1032
Phone: (309) 647-6135
Approximate (ZIP-level) locationGet directions
Mailing address
105 Bittersweet Ln
East Peoria, IL 61611-3726
Registry dates
- Enumerated
- 2008-03-25
- Last updated
- 2008-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.