NPI 1376960146

Daniel Wierck, PTA

Practitioner Physical Therapy Assistant Fountain Hills, AZ

Practice location

Address: 16838 E Palisades Blvd Bldg B-121, Fountain Hills, AZ 85268-3786
Phone: (480) 837-2595
Fax: (480) 837-2773
Mailing address: 9097 E Desert Cove Ave STE 110, Scottsdale, AZ 85260-6279

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5683 (AZ)

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Registry record

NPI: 1376960146
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2014
Record last updated: 18 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.