Basic Information
Provider Information
NPI: 1720478845
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEELS
FirstName: DANIELLE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DREWRY
OtherFirstName: DANIELLE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 4220 132ND ST SE
Address2: SUITE 101
City: MILL CREEK
State: WA
PostalCode: 980128999
CountryCode: US
TelephoneNumber: 4253168046
FaxNumber: 4253389637
Practice Location
Address1: 7728 204TH ST NE
Address2: #A
City: ARLINGTON
State: WA
PostalCode: 982232500
CountryCode: US
TelephoneNumber: 3604038250
FaxNumber: 3604030917
Other Information
ProviderEnumerationDate: 01/27/2015
LastUpdateDate: 05/09/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT60524278WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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