Provider Demographics
NPI:1952567562
Name:BOXBERGER, DANIELLE RENEE (DPT)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:RENEE
Last Name:BOXBERGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15100 METCALF AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2899
Mailing Address - Country:US
Mailing Address - Phone:913-897-1100
Mailing Address - Fax:
Practice Address - Street 1:15100 METCALF AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66223-2899
Practice Address - Country:US
Practice Address - Phone:913-897-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03828225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist