Individual
DANIEL N STREUBEL
Active
Individual
DANIEL N STREUBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT937
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010159590
BLUE SHIELD IDAHO
ID
05
—
004405500
—
ID
01
—
TD563
BLUE CROSS IDAHO
ID
Enumeration date
03/06/2007
Last updated
09/17/2020
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