Provider Demographics
NPI:1396001368
Name:SUMNERS, DANIELLE DON TERESA (ATC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DON TERESA
Last Name:SUMNERS
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 1:2409 GALLOWAY DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6631
Mailing Address - Country:US
Mailing Address - Phone:785-410-5454
Mailing Address - Fax:
Practice Address - Street 1:2409 GALLOWAY DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6631
Practice Address - Country:US
Practice Address - Phone:785-410-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-006852255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer