Provider Demographics
NPI:1407926777
Name:TROMBETTA, DANIELLE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:MARIE
Last Name:TROMBETTA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4515 N 32ND ST STE 110
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-3354
Mailing Address - Country:US
Mailing Address - Phone:623-552-3292
Mailing Address - Fax:623-552-3294
Practice Address - Street 1:4515 N 32ND ST STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3354
Practice Address - Country:US
Practice Address - Phone:623-552-3292
Practice Address - Fax:623-552-3294
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor