Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAN WAKEFIELD HIRTLE, PT
Active Sole ProprietorDAN WAKEFIELD HIRTLE, PT is a Physical Therapy Assistant healthcare provider located in SUTHERLIN, Oregon. NPI 1487639977 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SUTHERLIN, OR
Registration Details
- NPI Number
- 1487639977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.682241223621 yrs)
- Last Updated
- Nov 8, 2016
- License
-
2521 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 DAKOTA STSUTHERLIN, OR, 974799908Browse OR providers · Browse ZIP 97479
- Phone
- 5413152851
- Fax
- 5413152853
- 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.