| Doctor Name: | MR. DANIEL WAITE |
| NPI Number: | 1609149616 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.PED |
| License Number: | |
| Business Practice Address: | 5152 Morrish Rd Apt 60 Swartz Creek, MI - 484731379 |
| Business Phone Number: | 9896663880 |
| Business Fax Number: | |
| Mailing Address: | 5152 Morrish Rd, Apt 60 SWARTZ CREEK |
| State: | MI |
| Postal Code: | 484731379 |
| Phone Number: | 9896663880 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2012 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 224L00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Pedorthist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |