Provider Demographics
NPI:1942845615
Name:JAMES, DANIEL DAVID (PT, DPT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:DAVID
Last Name:JAMES
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 TULIP DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71115-3109
Mailing Address - Country:US
Mailing Address - Phone:318-780-0366
Mailing Address - Fax:
Practice Address - Street 1:417 TULIP DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71115-3109
Practice Address - Country:US
Practice Address - Phone:318-780-0366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-16
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10302208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation