Provider Demographics
NPI:1760456602
Name:VOLPE, DANIEL J (AT,C , CSCS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:VOLPE
Suffix:
Gender:M
Credentials:AT,C , CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 LOWELL CT
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-2332
Mailing Address - Country:US
Mailing Address - Phone:859-514-0345
Mailing Address - Fax:
Practice Address - Street 1:1080 CARDINAL DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9627
Practice Address - Country:US
Practice Address - Phone:502-863-4131
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAT3922255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer