Provider Demographics
NPI:1780024935
Name:KINSER, DANIELLE DEE (MA)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DEE
Last Name:KINSER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 RYAN AVE
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1913
Mailing Address - Country:US
Mailing Address - Phone:704-657-4959
Mailing Address - Fax:
Practice Address - Street 1:1203 RYAN AVE
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1913
Practice Address - Country:US
Practice Address - Phone:704-657-4959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist