Provider Demographics
NPI:1437581022
Name:KLICK, DANIELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:KLICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:HARGREAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8654 POPLAR BRIDGE CURV
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1441
Mailing Address - Country:US
Mailing Address - Phone:612-481-4457
Mailing Address - Fax:952-516-5175
Practice Address - Street 1:4444 W 76TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5173
Practice Address - Country:US
Practice Address - Phone:612-481-4457
Practice Address - Fax:952-516-5175
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor