Doctor Name: | GEOFFREY DAIGLE |
NPI Number: | 1285018655 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 9651 |
Business Practice Address: | 1614 Golf Course Rd Grand Rapids, MN - 557448681 |
Business Phone Number: | 2189997776 |
Business Fax Number: | |
Mailing Address: | 7551 9th St N, Suite 100 OAKDALE |
State: | MN |
Postal Code: | 551286629 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/16/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |