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

Mia Anica Khey Fuentebella, PT

Individual provider Physical Therapist · NPI 1710558465

Mia Anica Khey Fuentebella, PT is a Physical Therapist in Danville, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

812 N Logan Ave
Danville, IL 61832-3752
Phone: (217) 443-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1710558465
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 5, 2021
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021

Other providers in Danville