Individual
DANIEL NATHAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS
Contact information
Practice address
725 ALPINE ST BLDG 210, MOUNTAIN HOME AFB, ID 83648-5405
(254) 699-3933
Mailing address
133 MAGNOLIA AVE SE, FORT WALTON BEACH, FL 32548-7266
(850) 739-4936
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1571196
ID
2251X0800X
Orthopedic Physical Therapist
Primary
1342074
TX
Other
Enumeration date
02/10/2021
Last updated
01/29/2026
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