Individual
IAN CRAIG DANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4031 N DIXIE HWY STE 104, ELIZABETHTOWN, KY 42701
(270) 982-4776
(270) 982-4778
Mailing address
383 CORBIN CENTER DR, CORBIN, KY 40701-1895
(606) 526-2913
(606) 526-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007263
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100493930
—
KY
Enumeration date
09/07/2017
Last updated
06/27/2018
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