Provider Demographics
NPI:1578192159
Name:MARKIN, DANIEL ALEX (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALEX
Last Name:MARKIN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALEKSEY
Other - Middle Name:ALEKSEYEVICH
Other - Last Name:LIPUZHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2225 NORTH DR
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-6159
Mailing Address - Country:US
Mailing Address - Phone:509-720-7474
Mailing Address - Fax:
Practice Address - Street 1:435 S CRYSTAL ST STE 400
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1506
Practice Address - Country:US
Practice Address - Phone:406-496-3456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist