Provider Demographics
NPI:1215380217
Name:TECHNER, DANIELLE CROSS (ATC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CROSS
Last Name:TECHNER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 BONITA DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4801
Mailing Address - Country:US
Mailing Address - Phone:831-915-0656
Mailing Address - Fax:
Practice Address - Street 1:900 BONITA DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4801
Practice Address - Country:US
Practice Address - Phone:831-915-0656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer