Provider Demographics
NPI:1023324498
Name:BELLER, DANIELLE JOLENE (CMT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JOLENE
Last Name:BELLER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 MICHIGAN AVE E
Mailing Address - Street 2:APARTMENT 18
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-6808
Mailing Address - Country:US
Mailing Address - Phone:269-788-8276
Mailing Address - Fax:
Practice Address - Street 1:1115 MICHIGAN AVE E
Practice Address - Street 2:APARTMENT 18
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-6808
Practice Address - Country:US
Practice Address - Phone:269-788-8276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist