Provider Demographics
NPI:1255925285
Name:AKANA, DANI CHRISTINE (LMT)
Entity type:Individual
Prefix:
First Name:DANI
Middle Name:CHRISTINE
Last Name:AKANA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 SURFWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CARTER LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51510-1402
Mailing Address - Country:US
Mailing Address - Phone:405-670-0956
Mailing Address - Fax:
Practice Address - Street 1:2711 E KANESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-1003
Practice Address - Country:US
Practice Address - Phone:712-256-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-20
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3828225700000X
IA005448225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist