Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANE PERSON
Active Sole ProprietorDANE PERSON is a Physical Therapy Assistant healthcare provider located in JAL, New Mexico. NPI 1114139318 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JAL, NM
Registration Details
- NPI Number
- 1114139318
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2007 (19.29729115481 yrs)
- Last Updated
- Feb 28, 2024
- Licenses
-
PT5374 (NM)9366 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 CONTINENTAL DRIVEJAL, NM, 88252Browse NM providers · Browse ZIP 88252
- Phone
- 5753953400
- Fax
- 5753953355
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.