Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYLAN FANELLI RIEDESEL, DPT
ActiveDYLAN FANELLI RIEDESEL, DPT is a Physical Therapy Assistant healthcare provider located in GOLIAD, Texas. NPI 1063994242 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GOLIAD, TX
Registration Details
- NPI Number
- 1063994242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2018 (7.9497010272566 yrs)
- Last Updated
- Sep 4, 2018
- License
-
127890 (TX)
Practice Information
- Address
-
225 E WARD STGOLIAD, TX, 779634006Browse TX providers · Browse ZIP 77963
- Phone
- 3616458902
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.