Provider Demographics
NPI:1023621992
Name:PERSONAL TOUCH REHAB & WELLNESS LLC
Entity type:Organization
Organization Name:PERSONAL TOUCH REHAB & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHAAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:618-604-2777
Mailing Address - Street 1:253 HENRIETTA DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-7154
Mailing Address - Country:US
Mailing Address - Phone:618-604-2777
Mailing Address - Fax:
Practice Address - Street 1:253 HENRIETTA DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-7154
Practice Address - Country:US
Practice Address - Phone:618-604-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty