Provider Demographics
NPI:1811445232
Name:DRESSLER, DAKOTA
Entity type:Individual
Prefix:
First Name:DAKOTA
Middle Name:
Last Name:DRESSLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 RITZMAN RD
Mailing Address - Street 2:
Mailing Address - City:MC ALISTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17049-8240
Mailing Address - Country:US
Mailing Address - Phone:717-543-3696
Mailing Address - Fax:
Practice Address - Street 1:7 RITZMAN RD
Practice Address - Street 2:
Practice Address - City:MCALISTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:17049
Practice Address - Country:US
Practice Address - Phone:717-543-3696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer