Provider Demographics
NPI:1902831720
Name:MULLER, DANIELLE G (PT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:G
Last Name:MULLER
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 W GRANT LINE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-7343
Mailing Address - Country:US
Mailing Address - Phone:925-463-0470
Mailing Address - Fax:844-844-0798
Practice Address - Street 1:2180 W GRANT LINE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95377-7309
Practice Address - Country:US
Practice Address - Phone:925-463-0470
Practice Address - Fax:844-844-0798
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 25941225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00792626OtherMEDICARE RAILROAD
CABG332XMedicare PIN
CAP00792626OtherMEDICARE RAILROAD
CABG332ZMedicare PIN