Dan Haack, P.T.
Individual provider Active NPI Physical Therapist · Zimmerman, MN
NPI 1346327384 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346327384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5021 (MN)
- Practice address
- 25945 Gateway Dr
Zimmerman, MN 55398-5300 - Phone
- (763) 856-6930
- Fax
- (763) 856-6933
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5021 | MN | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5021 | MN | Yes |
Addresses
Primary practice location
25945 Gateway Dr
Zimmerman, MN 55398-5300
Mailing address
11172 191St Ave NW
Elk River, MN 55330-2803
Other providers in Zimmerman, MN
- Empowered Recovery Solutions 'Life After' Recovery Residence
- Adam Charles Erickson
- Kim I Evenson
- Pamela Ann Fisher
- Brianna Galang
- Donna Haberle
- Jean Ann Hartley
- Brian L Hoffmann
- Summer Hulsebus
- Rebecca Ikier
All providers in Zimmerman, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.