=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487595609
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIELLE CECH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2026
-----------------------------------------------------
Last Update Date | 04/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 2ND ST
-----------------------------------------------------
City | MENOMINEE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49858-3203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-863-9942
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | W4940 TWIN CREEK RD
-----------------------------------------------------
City | MENOMINEE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49858-9681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-797-5420
-----------------------------------------------------
Fax | 704-228-7351
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 5502005216
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 2503-19
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------