Provider Demographics
NPI:1487736633
Name:PRESSLER, DALE R (PT)
Entity type:Individual
Prefix:
First Name:DALE
Middle Name:R
Last Name:PRESSLER
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 1:402 W WHEATLAND RD
Mailing Address - Street 2:STE 100
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4600
Mailing Address - Country:US
Mailing Address - Phone:972-709-9191
Mailing Address - Fax:972-709-2116
Practice Address - Street 1:402 W WHEATLAND RD
Practice Address - Street 2:STE 100
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4600
Practice Address - Country:US
Practice Address - Phone:972-709-9191
Practice Address - Fax:972-709-2116
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1022390261QP2000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80250TOtherBLUECROSS BLUESHEILD #
TX0044169OtherBLUELINK
TX941745OtherCIGNA
TX4366891OtherAETNA
TX650190Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER