| Doctor Name: | MR. DANNY LEONARD MCCULLOUGH |
| NPI Number: | 1942387295 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | PT21723 |
| Business Practice Address: | 124 Sw Chamber Ct Port St Lucie, FL - 349863496 |
| Business Phone Number: | 7722882400 |
| Business Fax Number: | 7724190144 |
| Mailing Address: | 1050 Se Monterey Rd, Suite 400 STUART |
| State: | FL |
| Postal Code: | 349944512 |
| Phone Number: | 7722882400 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT21723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |