Provider Demographics
NPI:1831086297
Name:RESCH, DANA (LPTA)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:RESCH
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:DUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33900 HARPER AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-4258
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:64541 VAN DYKE RD STE 103
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48095-2570
Practice Address - Country:US
Practice Address - Phone:586-935-1100
Practice Address - Fax:586-935-1101
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502004835225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant