Provider Demographics
NPI:1346799772
Name:MCKILLOP, DANIEL PATRICK (DPT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:PATRICK
Last Name:MCKILLOP
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:407 E 2ND AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1428
Mailing Address - Country:US
Mailing Address - Phone:509-455-6002
Mailing Address - Fax:509-747-5990
Practice Address - Street 1:510 8TH AVE NE
Practice Address - Street 2:SUITE 340
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-5436
Practice Address - Country:US
Practice Address - Phone:425-313-3055
Practice Address - Fax:425-313-3051
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2020-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPT60645008225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist