Dakota Allen
Individual provider Active NPI Physical Therapist · Comanche, TX
NPI 1740024488 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1740024488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1365039 (TX)
- Practice address
- 108 W Oak Ave
Comanche, TX 76442-3273 - Phone
- (325) 356-7162
- NPI assigned
- Jun 19, 2024
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1365039 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1365039 | TX | Yes |
Addresses
Primary practice location
108 W Oak Ave
Comanche, TX 76442-3273
Mailing address
108 W Oak Ave
Comanche, TX 76442-3273
Other practice location 1
400 S Houston St
DE Leon, TX 76444-1928
Phone (254) 893-2015
Other providers in Comanche, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. 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.