Individual
DANIELLE JO LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC, OTC
Contact information
Practice address
181 W MEADOW DR, SUITE 400, VAIL, CO 81657-5242
(970) 479-5828
Mailing address
PO BOX 6042, AVON, CO 81620-6042
(970) 343-9459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0000949
CO
246ZX2200X
Orthopedic Assistant
13-1129
CO
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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