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

Mrs. Amy Lynn Koudelka

Individual provider Physical Therapist · NPI 1215101191

Mrs. Amy Lynn Koudelka is a Physical Therapist in Sparta, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

1300 N Market St
Sparta, IL 62286-1048
Phone: (618) 443-2177
Fax: (618) 443-4731
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070010691 (IL)

Record details

NPI number1215101191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2008
Last updated in NPPESJuly 5, 2012

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