Doctor Name: | DANIELLE A CARROLL |
NPI Number: | 1588799050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1999142847 |
Business Practice Address: | 2101 N Twyman Rd Fort Osage R-i School District Independence, MO - 640583200 |
Business Phone Number: | 8166507332 |
Business Fax Number: | 8166507485 |
Mailing Address: | 2101 N Twyman Rd, INDEPENDENCE |
State: | MO |
Postal Code: | 640583200 |
Phone Number: | 8166507332 |
Fax Number: | 8166507485 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 02/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1999142847 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |