Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Student

Organization Student in an Organized Health Care Education/Training Program · NPI 1285992909

Student is a Student in an Organized Health Care Education/Training Program in Petersburg, Illinois. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

16554 N Meadow Ln
Petersburg, IL 62675-6786
Phone: (217) 891-7941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1285992909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Howarth — Physical Therapy · (217) 891-7941
Other names Self
NPI enumeratedMay 1, 2012
Last updated in NPPESMay 1, 2012
Mailing address16554 N Meadow Ln, Petersburg, IL 62675-6786