Provider Demographics
NPI:1801534409
Name:BACHELDER, JUSTIN P (PT)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:P
Last Name:BACHELDER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:866-370-8206
Mailing Address - Fax:
Practice Address - Street 1:1519 W SOUTH ST STE 300
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IN
Practice Address - Zip Code:46052-2371
Practice Address - Country:US
Practice Address - Phone:765-335-3355
Practice Address - Fax:765-485-9073
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist