Provider Demographics
NPI:1881404374
Name:DALLMANN, DAVID BRADLEY
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:BRADLEY
Last Name:DALLMANN
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 1:15821 E 4TH AVE APT J354
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-7998
Mailing Address - Country:US
Mailing Address - Phone:509-599-2804
Mailing Address - Fax:
Practice Address - Street 1:15821 E 4TH AVE APT J354
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037-7998
Practice Address - Country:US
Practice Address - Phone:509-599-2804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist