Dane Connell

Physical Therapy Assistant · Bentonville, AR

Individual Active NPI

NPI number 1114325263

Practice location

PO Box 2486
Bentonville, AR 72712-7700
Phone
(479) 381-9180

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NPI record

NPI
1114325263
Entity type
Individual (Type 1)
Enumeration date
December 5, 2014
Last updated
August 21, 2024
Certified
August 21, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 53290 CA
Physical Therapy Assistant 225200000X TE010342 PA

About Dane Connell

Dane Connell is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is PO Box 2486, Bentonville, AR 72712-7700. The NPI number 1114325263 was assigned on December 5, 2014 and the record was last updated on August 21, 2024.

Dane Connell lists 2 licenses in the registry: #53290 (CA) for Physical Therapy Assistant; #TE010342 (PA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dane Connell?

The NPI number is 1114325263.

What is the phone number of Dane Connell?

The phone number listed for the practice location is (479) 381-9180.

Where is Dane Connell located?

PO Box 2486, Bentonville, AR 72712-7700.

What is the taxonomy code for Dane Connell?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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