Provider Demographics
NPI:1265410880
Name:HAMILTON, DANNY H II (PT)
Entity type:Individual
Prefix:MR
First Name:DANNY
Middle Name:H
Last Name:HAMILTON
Suffix:II
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5459 KY ROUTE 321 STE 3
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-9157
Mailing Address - Country:US
Mailing Address - Phone:606-506-0815
Mailing Address - Fax:606-506-0831
Practice Address - Street 1:5459 KY ROUTE 321 STE 3
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-9157
Practice Address - Country:US
Practice Address - Phone:606-506-0815
Practice Address - Fax:606-506-0831
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004532225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q05586Medicare UPIN
KY0755802Medicare PIN