Individual
MS. HOLLY LOUISE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, LAC
Contact information
Practice address
127 W BELL ST, SEQUIM, WA 98382-3752
(360) 461-4102
(360) 683-5974
Mailing address
803 7TH AVE S, EDMONDS, WA 98020-4079
(360) 461-4102
(360) 683-5974
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00000404
WA
225100000X
Physical Therapist
PT00006149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168776
STATE LABOR AND INDUSTIES
WA
01
—
7000014
AETNA
WA
01
—
7613420
AETNA
WA
01
—
REGENCE BLUE SHIELD
8111DA
WA
Enumeration date
08/29/2006
Last updated
09/11/2025
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