Dana Christiansen
Individual provider Active NPI Physical Therapist · Marengo, IL
NPI 1124304233 · NPPES record last updated Nov 2, 2011
Key facts
- NPI
- 1124304233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.017910 (IL)
- Practice address
- 1120 N Taylor St
Marengo, IL 60152-2369 - Phone
- (847) 613-5806
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017910 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.017910 | IL | Yes |
Addresses
Primary practice location
1120 N Taylor St
Marengo, IL 60152-2369
Mailing address
1120 N Taylor St
Marengo, IL 60152-2369
Phone (847) 613-5806
Other providers in Marengo, IL
- Jerry Ward Cargill
- April Carlson
- Lauren Carr
- Sam Chen
- Cherniak Family Chiropractic, PC
- Valarie Lynn Chudzinski
- Richard Joseph Damiani
- David Danielsen
- Anmarie Deller
- Gary R Dettman
All providers in Marengo, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.