IndividualActive
Danetta Ennis, MS, ATC, LAT
NPI 1649707779 · Athletic Trainer · Jonesboro, AR
Provider details
- NPI number
- 1649707779
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC, LAT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1416 E Matthews Ave Ste 200
Jonesboro, AR 72401-4362
Phone: (870) 932-1820
Fax: (870) 972-6712
Approximate (ZIP-level) locationGet directions
Mailing address
1416 E Matthews Ave Ste 200
Jonesboro, AR 72401-4362
Registry dates
- Enumerated
- 2017-05-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.