Individual
DANIELLE NICOLE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3059 CHAMPION WAY, MELISSA, TX 75454-2794
(469) 885-8671
Mailing address
3059 CHAMPION WAY, MELISSA, TX 75454-2794
(469) 885-8671
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4063877
TX
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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