Provider Demographics
NPI:1235349002
Name:WHITMEYER, DANIELLE DENESE (ATC, LAT)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:DENESE
Last Name:WHITMEYER
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:DENESE
Other - Last Name:MUCKLEROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, LAT
Mailing Address - Street 1:2614 CLEAR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4612
Mailing Address - Country:US
Mailing Address - Phone:512-627-3194
Mailing Address - Fax:
Practice Address - Street 1:1700 WILSON RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-6118
Practice Address - Country:US
Practice Address - Phone:281-641-6510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT34452255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer