Individual
TAYLOR DANIELLE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436
Mailing address
903 LOCUST ST, MISSOULA, MT 59802-4832
(510) 931-9171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-2083
MT
Other
Enumeration date
07/09/2017
Last updated
04/14/2020
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