Provider Demographics
NPI:1083199517
Name:JONAS, DANYA (LMT, CIMI)
Entity Type:Individual
Prefix:
First Name:DANYA
Middle Name:
Last Name:JONAS
Suffix:
Gender:F
Credentials:LMT, CIMI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4274 MADERA RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-5505
Mailing Address - Country:US
Mailing Address - Phone:214-205-3041
Mailing Address - Fax:
Practice Address - Street 1:6750 N MACARTHUR BLVD STE 258
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2483
Practice Address - Country:US
Practice Address - Phone:214-205-3041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist