| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LINNEA OMHOLT | 1114541851 | 2022-11-20 |
Linnea Omholt is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114541851. Registration indicates Linnea Omholt is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Linnea Omholt PT, DPT |
| Practice Office Address | 1150 N 5TH AVE ST CHARLES, IL US |
| Practice Office Telephone | 3312483533 |
| Mailing Address | 39W269 E MALLORY DR GENEVA, IL 601344900 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 76 W Countryside Pkwy | Yorkville, IL 605601967 | 6306466391 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 070.021003
IL |