Healthcare Provider Details

I. General information

NPI: 1770136285
Provider Name (Legal Business Name): DILLON ANDERSON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 CENTRAL AVE W
CLARION IA
50525-1311
US

IV. Provider business mailing address

116 15TH AVE SW
CLARION IA
50525-2011
US

V. Phone/Fax

Practice location:
  • Phone: 515-851-0167
  • Fax:
Mailing address:
  • Phone: 515-851-0167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number096650
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: