Individual
DANE MERRILL ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
510 LINCOLN DRIVE, HERRIN, IL 62948-6334
(618) 997-6800
(618) 997-1187
Mailing address
510 LINCOLN DRIVE, HERRIN, IL 62948-6334
(618) 997-6800
(618) 997-1187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016699
IL
2251X0800X
Orthopedic Physical Therapist
Primary
070016699
IL
Other
Enumeration date
10/15/2008
Last updated
02/04/2026
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