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Contact Information

DANIEL R DAHLE, PT, ATC
3916 N. INTERTECH COURT
SUITE B
APPLETON, WI54913
 Phone: 920-733-7726
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for DANIEL R DAHLE · (Male)

NPI Number 1073704441
Status Active
Credentials PT, ATC
Entity Individual
Enumeration date 08/09/2007
Last updated 10/03/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 361-039
  • WI License # 6442-024
  • WI Medicaid 36105000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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