Healthcare Provider Details

I. General information

NPI: 1588569552
Provider Name (Legal Business Name): DANIELLE HINES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 FLAMINGO DR
NEWARK DE
19702-4147
US

IV. Provider business mailing address

138 FLAMINGO DR
NEWARK DE
19702-4147
US

V. Phone/Fax

Practice location:
  • Phone: 302-612-2014
  • Fax:
Mailing address:
  • Phone: 302-612-2014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: