Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Robert Dambacher, PTA

Individual provider Physical Therapy Assistant · NPI 1598210056

Mr. Michael Robert Dambacher, PTA is a Physical Therapy Assistant in Dupo, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

95 Stoney Dr
Dupo, IL 62239-1160
Phone: (618) 365-0249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2016002048 (MO)

Record details

NPI number1598210056
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 24, 2016
Last updated in NPPESAugust 24, 2016