Provider Demographics
NPI:1801235460
Name:MCALEESE, DANIEL R (PT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:R
Last Name:MCALEESE
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:PO BOX 8857
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83002-8857
Mailing Address - Country:US
Mailing Address - Phone:307-734-9129
Mailing Address - Fax:307-734-1427
Practice Address - Street 1:120 W PEARL AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-8657
Practice Address - Country:US
Practice Address - Phone:307-734-9129
Practice Address - Fax:307-734-1427
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT1480225100000X
IDPT-3242225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist