Provider Demographics
NPI:1891936670
Name:KNAPP, DANIELLE TAYLOR (ATC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:TAYLOR
Last Name:KNAPP
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 1:5 GROVE WAY
Mailing Address - Street 2:
Mailing Address - City:CLINTON CORNERS
Mailing Address - State:NY
Mailing Address - Zip Code:12514-2330
Mailing Address - Country:US
Mailing Address - Phone:845-489-6186
Mailing Address - Fax:
Practice Address - Street 1:5 GROVE WAY
Practice Address - Street 2:
Practice Address - City:CLINTON CORNERS
Practice Address - State:NY
Practice Address - Zip Code:12514-2330
Practice Address - Country:US
Practice Address - Phone:845-489-6186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260013432255A2300X
NY670018112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer