IndividualActive
Kimberly Marvel, PTA
NPI 1992952899 · Physical Therapy Assistant · Ewing, IL
Provider details
- NPI number
- 1992952899
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160001854 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
205 W Main St
Ewing, IL 62836-1412
Phone: (618) 629-2715
Approximate (ZIP-level) locationGet directions
Mailing address
205 W Main St
Ewing, IL 62836-1412
Registry dates
- Enumerated
- 2008-08-21
- Last updated
- 2008-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.