# MS. MIKKI L DANIEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376625988
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT 3064 | MS | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 03/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000050976 | BLUE CROSS BLUE SHIELD | MS |
| 05 | — | 00121389 | — | MS |
| 01 | — | 7589031 | AETNA | MS |