Individual
DAVID DOYLE JANTZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7849
MN
2251S0007X
Sports Physical Therapist
070.018314
IL
2255A2300X
Athletic Trainer
096.003082
IL
2255A2300X
Athletic Trainer
1924
MN
Other
Enumeration date
09/27/2006
Last updated
05/27/2016
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