Provider Demographics
NPI:1033176086
Name:GIESEN, DANIEL P (ATC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:GIESEN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MOHNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19540-1520
Mailing Address - Country:US
Mailing Address - Phone:610-374-4035
Mailing Address - Fax:610-374-6012
Practice Address - Street 1:630 EVANS AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2636
Practice Address - Country:US
Practice Address - Phone:610-374-4035
Practice Address - Fax:610-374-6012
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART001807A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer