Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DANETTA MICHELLE ENNIS, MS, ATC, LAT
ActiveMRS. DANETTA MICHELLE ENNIS, MS, ATC, LAT is a Athletic Trainer healthcare provider located in JONESBORO, Arkansas. NPI 1649707779 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JONESBORO, AR
Registration Details
- NPI Number
- 1649707779
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2017 (9.1964935791177 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
1416 E MATTHEWS AVE STE 200JONESBORO, AR, 724014362Browse AR providers · Browse ZIP 72401
- Phone
- 8709321820
- Fax
- 8709726712
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in JONESBORO, AR
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT LOUIS BRUCE | EDD, ATC | 1619942364 |
| MRS. PAULA MICHELLE PARNELL | ATC | 1619024833 |
| AMANDA MICHELLE COLEMAN | — | 1306993423 |
| DUSTIN HARTZER | ATC | 1780734715 |
| JULIA MATTHEY ELLENA | ATC | 1992855241 |
| MS. KRISTIN S HODGE | ATC | 1770633083 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.