Provider Demographics
NPI:1043780489
Name:HENNES, DANIELLE AYRES (DC)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:AYRES
Last Name:HENNES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 W STONEGATE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8595
Mailing Address - Country:US
Mailing Address - Phone:616-894-1070
Mailing Address - Fax:
Practice Address - Street 1:7625 W STONEGATE DR STE 100
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-8595
Practice Address - Country:US
Practice Address - Phone:317-207-6235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003193A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor