Provider Demographics
NPI:1437806205
Name:FLINT, DANIELLE (LMT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:FLINT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:SHEWBIRT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:8105 RASOR BLVD STE 137
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0337
Mailing Address - Country:US
Mailing Address - Phone:214-471-7176
Mailing Address - Fax:
Practice Address - Street 1:8105 RASOR BLVD STE 137
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0337
Practice Address - Country:US
Practice Address - Phone:214-471-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT110788225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist