Provider Demographics
NPI:1033771357
Name:STAPLES, DANIEL JOHN (DPT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOHN
Last Name:STAPLES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:866-518-0283
Mailing Address - Fax:
Practice Address - Street 1:1639 BRADLEY PARK DR STE C-2
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3620
Practice Address - Country:US
Practice Address - Phone:706-322-9311
Practice Address - Fax:706-322-9344
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist