Danielle M Hurl, PTA

Individual provider Active NPI Physical Therapy Assistant · Stayton, OR

NPI 1104057967 · NPPES record last updated Jul 28, 2009

Key facts

NPI
1104057967
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
8535 (OR)
Practice address
601 N 1St St
Stayton, OR 97383-1704
Phone
(503) 769-2123
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8535ORMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8535 OR Yes

Addresses

Primary practice location

601 N 1St St
Stayton, OR 97383-1704

Mailing address

115 Cherry St
Silverton, OR 97381-1909
Phone (503) 871-2802

Other providers in Stayton, OR

All providers in Stayton, OR · Physical Therapy Assistant in Oregon

Sources for this page

Verify at the official NPI Registry.