Provider Demographics
NPI:1053676825
Name:DANIEL, SHEENA M (DPT)
Entity type:Individual
Prefix:MS
First Name:SHEENA
Middle Name:M
Last Name:DANIEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 TUMWATER VALLEY DR SE STE 150
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-4583
Mailing Address - Country:US
Mailing Address - Phone:360-493-4160
Mailing Address - Fax:360-493-4163
Practice Address - Street 1:4833 TUMWATER VALLEY DR SE STE 150
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-4583
Practice Address - Country:US
Practice Address - Phone:360-493-4160
Practice Address - Fax:360-493-4163
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60207544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist