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NPI Code Detail

MEDICARE: DANA MCCREIGHT DPT

MEDICARE: DANA MCCREIGHT DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist05013375AIN

General Provider Information

NPI Number : 1083251409
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MCCREIGHT DPT
Provider Business Mailing Address
First Line : 3626 GRANT LINE RD STE 105
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-2399
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3626 GRANT LINE RD STE 105
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-2399
Country : US
Telephone Number : 812-948-0549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2019
Last Update Date : 12/04/2019

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