# DANIEL E HOUGLUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548218167
- **Gender:** Man
- **Credential:** MSPT ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070011555 | IL | Yes |
| 225100000X | Physical Therapist | 10070024 | WI | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 12/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40394300 | — | WI |
| 01 | — | 859400057 | MEDICARE | WI |
| 01 | — | IL6237013 | MEDICARE | IL |
| 01 | — | IL6238013 | MEDICARE | IL |
| 01 | — | IL6697006 | MEDICARE | IL |