Provider Demographics
NPI:1053765420
Name:DREES, DANIEL
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:DREES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3135 218TH ST
Mailing Address - Street 2:
Mailing Address - City:EARLVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52041-8509
Mailing Address - Country:US
Mailing Address - Phone:563-451-8010
Mailing Address - Fax:
Practice Address - Street 1:3135 218TH ST
Practice Address - Street 2:
Practice Address - City:EARLVILLE
Practice Address - State:IA
Practice Address - Zip Code:52041-8509
Practice Address - Country:US
Practice Address - Phone:563-451-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0743932255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer