Individual
DANIELLE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4418 W STATE ROAD 60, SALEM, IN 47167-6494
(812) 896-4902
Mailing address
4418 WEST STATE ROAD 60, SALEM, IN 47167
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
IN
2255A2300X
Athletic Trainer
Primary
36002815A
IN
Other
Enumeration date
08/28/2016
Last updated
07/01/2017
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