Provider Demographics
NPI:1790140051
Name:SADLER, DANIELLE (LAC, DIPL OM)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:SADLER
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 W 96TH ST APT 3K
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-4350
Mailing Address - Country:US
Mailing Address - Phone:641-821-0668
Mailing Address - Fax:
Practice Address - Street 1:3440 FEDERAL DR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-3501
Practice Address - Country:US
Practice Address - Phone:651-338-3574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-30
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1851171100000X
IAA-94171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist