Patrick Dagg

Physical Therapy Assistant · Bloomington, IL

Individual Active NPI

NPI number 1508187204

Practice location

700 E Walnut St
Bloomington, IL 61701-3244
Phone
(309) 827-8004
Fax
(309) 827-0256

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NPI record

NPI
1508187204
Entity type
Individual (Type 1)
Enumeration date
June 16, 2010
Last updated
June 16, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160003356 IL

Mailing address

550 Frontage Rd
Suite 2415
Northfield, IL 60093-1202
Phone
(847) 441-5593
Fax
(847) 441-0734

About Patrick Dagg

Patrick Dagg is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 700 E Walnut St, Bloomington, IL 61701-3244. The NPI number 1508187204 was assigned on June 16, 2010 and the record was last updated on June 16, 2010.

Patrick Dagg lists a license in the registry: #160003356 (IL) 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 Patrick Dagg?

The NPI number is 1508187204.

What is the phone number of Patrick Dagg?

The phone number listed for the practice location is (309) 827-8004.

Where is Patrick Dagg located?

700 E Walnut St, Bloomington, IL 61701-3244.

What is the taxonomy code for Patrick Dagg?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

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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