Provider Demographics
NPI:1962477620
Name:DAVIS, ARIANNE MARIE (LAT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:ARIANNE
Middle Name:MARIE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SUMMER HAVEN LN
Mailing Address - Street 2:
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-9414
Mailing Address - Country:US
Mailing Address - Phone:828-295-8451
Mailing Address - Fax:828-295-8451
Practice Address - Street 1:191 MAIN ST
Practice Address - Street 2:CPO 3730
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604
Practice Address - Country:US
Practice Address - Phone:828-898-8892
Practice Address - Fax:828-898-8742
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC09102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer