Most Relevant Information
Provider Data
| NPI Number: | 1003279191 |
| Provider Name: | KENDALL GILES |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070022050 |
Most Important Dates
| Enumeration Date: | 04/05/2016 |
| Last Updated: | 04/05/2016 |
Provider Practice Location
1004 HEALTH CENTER DR
MATTOON
IL
619389253
Practice Location Phone/Fax
| Phone: | 2172582530 |
| Fax: | 2172584176 |
Provider Mailing Location
1004 HEALTH CENTER DR
MATTOON
IL
619389253
Provider Mailing Phone/Fax
| Phone: | 2172582530 |
| Fax: | 2172584176 |