Individual
DANIEL LEE TEECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11061-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64-09024
MEDICA
—
01
—
B17211055892
PREFERRED ONE
—
01
—
OU018TE
BCBS MN
—
01
—
P00636189
RR MEDICARE
WI
Enumeration date
07/30/2008
Last updated
08/20/2020
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