MISS DANELLE DYKSTRA


Address: 7050 S 24th St, Phoenix, AZ 85042-5806
Phone: 6022438232

MISS DANELLE DYKSTRA (NPI# 1780726786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780726786
Entity Type Individual
Full Name MISS DANELLE DYKSTRA
Credential ATC
Practice Address 7050 S 24th St
Phoenix
AZ 85042-5806
Mailing Address 701 W Grove Pkwy Apt 360
Tempe
AZ 85283-4509
Practice Telephone 6022438232
Mailing Telephone 4807359346
Enumeration Date 2007-02-13
Last Update Date 2009-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
0663 AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 7050 S 24TH ST
City PHOENIX
State AZ
Zip Code 85042-5806

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356759393 Amy Gibson Student in an Organized Health Care Education/Training Program 7050 S 24th St, Phoenix, AZ 85042-5806 2014-07-22

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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1477169282 Deborah Carter Specialist/Technologist 5346 N. 29th Ave., Phoenix, AZ 85017 2020-09-17
1083220065 Ashley Medeiros Specialist/Technologist 2926 E. Encanto Blvd., Phoenix, AZ 85009 2020-09-16
1386269454 Alexis Ileana Encarnacion Specialist/Technologist 375 E Virginia Ave Ste B, Phoenix, AZ 85004-1202 2020-06-14
1316568470 Daria Bickham Specialist/Technologist 18401 N 32nd St, Phoenix, AZ 85032-1210 2020-04-29
1255970059 Lauren Berryhill Specialist/Technologist 510 W Gary Way, Phoenix, AZ 85041-8051 2019-12-27
1407490113 Aubree 031854585 Begay-houston Specialist/Technologist 4232 N 3rd Ave Apt 4, Phoenix, AZ 85013-3093 2019-11-05
1316597396 Aaron Hoback Specialist/Technologist 3805 N 53rd Ave, Phoenix, AZ 85031-3046 2019-09-12
1942858345 Roxanne Reynolds Specialist/Technologist 5445 E Yale St, Phoenix, AZ 85008-1711 2019-08-28
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Competitor

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City PHOENIX
Zip Code 85042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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