IndividualActive
Dane Elliott, PT
NPI 1437301009 · Physical Therapist · Herrin, IL
Provider details
- NPI number
- 1437301009
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 070016699 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
510 Lincoln Drive
Herrin, IL 62948-6334
Phone: (618) 997-6800
Fax: (618) 997-1187
Approximate (ZIP-level) locationGet directions
Mailing address
510 Lincoln Drive
Herrin, IL 62948-6334
Registry dates
- Enumerated
- 2008-10-15
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.