SearchWisconsin225200000X

Douglas Mcdaniel, PTA

NPI 1427593847 · on the registry since 2016 · sole proprietor

Practice

Address
5932 85th St
Pleasant Prairie, WI 53158
Phone
(262) 914-5674

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin