Individual
DANIELLE D FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4112 COLTON DR, FORT SMITH, AR 72903-6352
(479) 650-8066
Mailing address
4112 COLTON DR, FORT SMITH, AR 72903-6352
(479) 650-8066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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