Individual provider · NPI-1

Tina Daniels

Specialist/Technologist, Athletic Trainer · Yakima, WA

NPI number1851990329
StatusActive
Last updated in NPPESOct 25, 2020

Details

NPI
1851990329
Entity type
Individual (NPI-1)
Name
Tina Daniels
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 25, 2020
Certification date
Oct 25, 2020
Last updated
Oct 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

5104 W Nob Hill Blvd Apt 8
Yakima, WA 98908-5814

Phone 816-929-9703

Mailing address

5104 W Nob Hill Blvd Apt 8
Yakima, WA 98908-5814

Phone 816-929-9703

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