Healthcare Provider Details

I. General information

NPI: 1225317167
Provider Name (Legal Business Name): DANIELLE RONNER L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE HENNES L.AC.

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 09/21/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 N. HANCOCK AVE SUITE 5S
COLORADO SPRINGS CO
80903
US

IV. Provider business mailing address

1422 N. HANCOCK AVE SUITE 5S
COLORADO SPRINGS CO
80903
US

V. Phone/Fax

Practice location:
  • Phone: 719-520-5056
  • Fax:
Mailing address:
  • Phone: 719-520-5056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number13490
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1659
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: