Provider Demographics
NPI:1083204168
Name:RANGER, DAYNETTE ROCHON (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:DAYNETTE
Middle Name:ROCHON
Last Name:RANGER
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 241962
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-1962
Mailing Address - Country:US
Mailing Address - Phone:334-654-9733
Mailing Address - Fax:
Practice Address - Street 1:8449 CROSSLAND LOOP STE 105
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-0917
Practice Address - Country:US
Practice Address - Phone:334-654-9733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3412225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist