Provider Demographics
NPI:1255670204
Name:HMIELEWSKI, DANIELLE M (PT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:HMIELEWSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:112 BRADFORD BLVD
Mailing Address - Street 2:STE 500
Mailing Address - City:GORDONSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38563-4618
Mailing Address - Country:US
Mailing Address - Phone:865-474-8410
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:614 MABRY HOOD RD
Practice Address - Street 2:SUITE 301
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-2669
Practice Address - Country:US
Practice Address - Phone:865-474-8410
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist