Mr. Timothy K Massengill
Mr. Timothy K Massengill is a Physical Therapy Assistant in Nokomis, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
505 Stevens StNokomis, IL 62075-1442
Phone: (217) 563-7725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160002132 |
|---|
Record details
| NPI number | 1902563943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 24, 2021 |
| Last updated in NPPES | November 24, 2021 |
| Certification date | November 24, 2021 |