| Dan Wakefield Hirtle, PT | |
|
211 Dakota St, Sutherlin, OR 97479-9908 | |
| (541) 315-2851 | |
| (541) 315-2853 |
| Full Name | Dan Wakefield Hirtle |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 211 Dakota St, Sutherlin, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487639977 | NPI | - | NPPES |
| 295705 | Medicaid | OR | |
| 650012922 | Other | OR | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2521 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Wakefield Hirtle, PT 211 Dakota St, Sutherlin, OR 97479-9908 Ph: (541) 315-2851 | Dan Wakefield Hirtle, PT 211 Dakota St, Sutherlin, OR 97479-9908 Ph: (541) 315-2851 |
Therapeutic Associates, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 145 Myrtle St, Suite 106, Sutherlin, OR 97479 Phone: 541-459-8459 Fax: 541-459-4393 | |
Fairway Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Dakota St, Sutherlin, OR 97479 Phone: 541-315-2851 Fax: 541-315-2853 |