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DANIEL LONG NPI 1972686194


NPI Information

NPI: 1972686194
Provider Name: DANIEL LONG

Doing Business As: MONROE PHYSICAL THERAPY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
520 COOK ST
SUITE D
MADISONVILLE, TN
ZIP 37354
Phone: (423) 442-1440
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DANIEL LONG is a specialist in Madisonville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DANIEL LONG NPI is 1972686194. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Monroe Physical Therapy.

The provider's business location address is:

520 COOK ST
SUITE D
MADISONVILLE, TN
ZIP 37354-508
Phone: (423) 442-1440
Fax: (423) 442-1441

The provider's authorized official is Daniel Everett Long .
The authorized official title is Owner and has the following contact phone number (423) 442-1440.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 6/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistPT0000006076TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13728990MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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