Heather Koder, PTA
Heather Koder, PTA is an Other Specialist/Technologist in Great Lakes, Illinois. Licensed in Illinois. Registered with an NPI since 2025.
- Licensed in
- IL
- In the registry since
- 2025
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
Uss Tranquility 3410 Illinois StGreat Lakes, IL 60088
Phone: (224) 392-6914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X · Licence 160.009101 (IL) |
|---|
Record details
| NPI number | 1285435172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | March 24, 2025 |
| Last updated in NPPES | March 24, 2025 |
| Certification date | March 19, 2025 |
| Mailing address | 3852 N Pontiac Ave, Chicago, IL 60634-1929 |
Other providers in Great Lakes
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Kelsie Lynn Hammac
3410 Illinois St, Great Lakes, IL 60088-3120 · (847) 688-1900
-
Mr. Johnny Ifopo
2410 Sampson St, Great Lakes, IL 60088-2942 · (520) 490-5187
-
Felicia Truley Ruiz
2410 Sampson St, Great Lakes, IL 60088-2942 · (224) 610-8555
-
David Emilio Torrez
3420 Illinois St, Great Lakes, IL 60088-3161 · (224) 610-8553