Provider Demographics
NPI:1174536882
Name:ZILLYETTE, DANIELLE (DC)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:ZILLYETTE
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 1:431 E GOLDFINCH DRIVE
Mailing Address - Street 2:P.O. BOX 431
Mailing Address - City:TIFFIN
Mailing Address - State:IA
Mailing Address - Zip Code:52340
Mailing Address - Country:US
Mailing Address - Phone:319-545-3019
Mailing Address - Fax:
Practice Address - Street 1:117 W MARENGO RD
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:IA
Practice Address - Zip Code:52340-9212
Practice Address - Country:US
Practice Address - Phone:319-545-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06899111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist