Individual
MRS. DANETTA MICHELLE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1416 E MATTHEWS AVE STE 200, JONESBORO, AR 72401-4362
(870) 932-1820
(870) 972-6712
Mailing address
1416 E MATTHEWS AVE STE 200, JONESBORO, AR 72401-4362
(870) 932-1820
(870) 972-6712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AR
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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