Provider Demographics
NPI:1689290678
Name:HINDE, DANIEL JEFFERSON (PT)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JEFFERSON
Last Name:HINDE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W MICHIGAN AVE STE C
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-1613
Mailing Address - Country:US
Mailing Address - Phone:517-740-8951
Mailing Address - Fax:
Practice Address - Street 1:300 B DR N
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:MI
Practice Address - Zip Code:49224-8420
Practice Address - Country:US
Practice Address - Phone:517-630-0267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501019264225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist