Alexa Daneault, ATC, LAT
Specialist/Technologist, Athletic Trainer in Jacksonville, FL. Individual provider (NPI-1).
NPI number1124585237
StatusActive
Last updated in NPPESFeb 25, 2019
Details
- NPI
- 1124585237
- Entity type
- Individual (NPI-1)
- Name
- Alexa Daneault
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2019
- Last updated
- Feb 25, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
3351 Hendricks AveJacksonville, FL 32207-5301
Phone 904-402-4399
Mailing address
7740 Plantation Bay Dr Apt 306Jacksonville, FL 32244-5185
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