Provider Demographics
NPI:1215436332
Name:WATKINS, DANIEL (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:WATKINS
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 ALLISON AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-7489
Mailing Address - Country:US
Mailing Address - Phone:308-760-2198
Mailing Address - Fax:
Practice Address - Street 1:608 KEARNEY ST
Practice Address - Street 2:
Practice Address - City:HEMINGFORD
Practice Address - State:NE
Practice Address - Zip Code:69348-8288
Practice Address - Country:US
Practice Address - Phone:308-760-2198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-04
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1094957OtherASSOCIATED BODYWORK & MASSAGE PROFESSIONALS