Healthcare Provider Details

I. General information

NPI: 1689153991
Provider Name (Legal Business Name): DANIEL OLSEN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 COLUMBUS RD
ATHENS OH
45701-1315
US

IV. Provider business mailing address

1255 E CANAL ST
NELSONVILLE OH
45764-8000
US

V. Phone/Fax

Practice location:
  • Phone: 740-592-4778
  • Fax:
Mailing address:
  • Phone: 740-753-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0012631
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019295
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: