Provider Demographics
NPI:1275021875
Name:DENZLER, DANIEL (MAT LAT ATC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:DENZLER
Suffix:
Gender:M
Credentials:MAT LAT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22631 COLONIAL PKWY APT 1305
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4184
Mailing Address - Country:US
Mailing Address - Phone:346-561-4055
Mailing Address - Fax:
Practice Address - Street 1:13755 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-5445
Practice Address - Country:US
Practice Address - Phone:713-556-3348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-29
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT71162255A2300X, 2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty