Daniel George Holmbeck, PT
Individual provider Active NPI Physical Therapist · Deer River, MN
NPI 1770848772 · NPPES record last updated Jul 6, 2012
Key facts
- NPI
- 1770848772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6392 (MN)
- Practice address
- 115 10TH Ave NE
Deer River Healthcare Center
Deer River, MN 56636-8795 - Phone
- (218) 246-3001
- NPI assigned
- Jul 6, 2012
- 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 |
|---|---|---|---|
| 6392 | MN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6392 | MN | Yes |
Addresses
Primary practice location
115 10TH Ave NE
Deer River Healthcare Center
Deer River, MN 56636-8795
Mailing address
115 10TH Ave NE
Deer River Healthcare Center
Deer River, MN 56636-8795
Phone (218) 246-3001
Other providers in Deer River, MN
- Liana Lynn Gordon
- Mark D. Gustafson
- Ingrid Hahn
- Leah Hildebrandt
- Byron David Kion Hoffman
- Rodney C Horgen
- Thomas Edward Howard
- Independent School District No 317
- Susan M Jewett
- Jackie Lynn Jordan
All providers in Deer River, 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 6, 2012. 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.