Provider Demographics
NPI:1740951235
Name:SOLANA, DANYELLE (CMT, LMT, CPT, LSN)
Entity type:Individual
Prefix:MRS
First Name:DANYELLE
Middle Name:
Last Name:SOLANA
Suffix:
Gender:F
Credentials:CMT, LMT, CPT, LSN
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:
Other - Last Name:SOLANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:14 JEAN TER
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-4550
Mailing Address - Country:US
Mailing Address - Phone:512-351-2882
Mailing Address - Fax:
Practice Address - Street 1:14 JEAN TER
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4550
Practice Address - Country:US
Practice Address - Phone:512-351-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75835225700000X
RIMT02711225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist