Provider Demographics
NPI:1407137805
Name:VOSS, DANIELLE PATRICIA (MA, LAT, ATC)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:PATRICIA
Last Name:VOSS
Suffix:
Gender:F
Credentials:MA, 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:PO BOX 6668
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-5119
Mailing Address - Country:US
Mailing Address - Phone:828-777-7057
Mailing Address - Fax:
Practice Address - Street 1:100 ATHLETIC ST
Practice Address - Street 2:BOX 6668
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-9134
Practice Address - Country:US
Practice Address - Phone:828-777-7057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19112255A2300X
NC1191207QS0010X, 2081S0010X, 2083S0010X, 2083S0010X, 2084S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine
No2084S0010XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySports Medicine