Provider Demographics
NPI:1851429278
Name:HALKO, DANYEL MARIE (ATC)
Entity Type:Individual
Prefix:
First Name:DANYEL
Middle Name:MARIE
Last Name:HALKO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 DELARKA DR
Mailing Address - Street 2:
Mailing Address - City:LOLO
Mailing Address - State:MT
Mailing Address - Zip Code:59847-9652
Mailing Address - Country:US
Mailing Address - Phone:406-728-2400
Mailing Address - Fax:406-329-5959
Practice Address - Street 1:901 SOUTH AVE W
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7910
Practice Address - Country:US
Practice Address - Phone:406-728-2400
Practice Address - Fax:406-329-5959
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer