Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miikella Danielle Henry

Individual provider Athletic Trainer · NPI 1609362771

Miikella Danielle Henry is an Athletic Trainer in Pomona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

255 E Bonita Ave
Pomona, CA 91767-1923
Phone: (909) 596-7733
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Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)

Record details

NPI number1609362771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2018
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address17123 Crabapple Ln, Fontana, CA 92337-6871

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