Provider Demographics
NPI:1114281995
Name:GABEL, DANIELLE F (PT, DPT, CFMT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:F
Last Name:GABEL
Suffix:
Gender:F
Credentials:PT, DPT, CFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 BAXTER LN APT 5
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-8064
Mailing Address - Country:US
Mailing Address - Phone:414-350-1876
Mailing Address - Fax:
Practice Address - Street 1:7 W MAIN ST # 0A
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715
Practice Address - Country:US
Practice Address - Phone:414-350-1876
Practice Address - Fax:406-219-0403
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11959225100000X
COPTL.00132922251X0800X
MTPTP-PT-LIC-131182251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist