KONNER STREET, DPT
Physical Therapist
Active
Individual
NPI: 1780453308
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 070.029219 (IL) |
| Physical Therapist - Pediatrics | 2251P0200X | No | 008995 (KY) |
Frequently Asked Questions
NPI 1780453308 is the National Provider Identifier for KONNER STREET, DPT, a Physical Therapist provider located in Maryville, IL. This NPI was enumerated on December 22, 2023.
KONNER STREET, DPT practices at 6800 STATE ROUTE 162, Maryville, IL 62062.
Quick Facts
- NPI
- 1780453308
- Type
- Individual
- Enumerated
- Dec 22, 2023
- Last Updated
- Aug 27, 2025
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