Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Awaken Physical Therapy and Myofascial Release

Organization Physical Therapist · NPI 1104494194

Awaken Physical Therapy and Myofascial Release provides Physical Therapist services in Elburn, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

43W481 Kenmar Ct
Elburn, IL 60119-9106
Phone: (815) 375-0132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1104494194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chamberlin Dewitte — Owner · (815) 375-0132
NPI enumeratedJune 15, 2021
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021
Mailing address43w481 Kenmar Ct, Elburn, IL 60119-9106

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