DANELLE DYKSTRA

PHOENIX, AZ
NPI1780726786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0663)
Enumeration Date2007-02-13
Last Update Date2009-04-09
Business Address
Miss DANELLE DYKSTRA ATC
7050 S 24TH ST
PHOENIX, AZ 85042-5806
Phone number: 602-243-8232
Mailing Address
Miss DANELLE DYKSTRA ATC
701 W GROVE PKWY APT 360
TEMPE, AZ 85283-4509
Phone number: 480-735-9346