Individual
DANIELLE LEE TKACIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1733 E POWELL BLVD STE 102, GRESHAM, OR 97030-8013
(503) 740-6343
(503) 974-3744
Mailing address
1733 E POWELL BLVD STE 102, GRESHAM, OR 97030-8013
(503) 740-6343
(503) 974-3744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26808
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780448878
GROUP NPI
—
Enumeration date
04/06/2022
Last updated
05/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us