Michael Danford, PT
Individual provider Active NPI Physical Therapist · Poulsbo, WA
NPI 1336155274 · NPPES record last updated May 14, 2014
Key facts
- NPI
- 1336155274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00002028 (WA)
- Practice address
- 19319 7TH Ave NE Ste 100
Poulsbo, WA 98370-7442 - Phone
- (360) 598-3764
- Fax
- (360) 598-3282
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| PT00002028 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Past | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Past | Accepting new patients | |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002028 | WA | Yes |
Addresses
Primary practice location
19319 7TH Ave NE Ste 100
Poulsbo, WA 98370-7442
Mailing address
19319 7TH Ave NE Ste 100
Poulsbo, WA 98370-7442
Phone (360) 598-3764
Other providers in Poulsbo, WA
- Wendy M Cronk
- Cailyn Crossland
- Caleb Ronald Cummins
- Thomas J Curran
- Alexandra Dafcik
- Daniel Peck DDS Inc PS
- Jill Davidson
- Andrew Day
- Sandra L Dayley
- Kandyse Ybarra Deam
All providers in Poulsbo, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2014. 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.