Individual
DANIEL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6286 BRIARCREST AVE # 110, MEMPHIS, TN 38120-4023
(901) 259-1600
Mailing address
6286 BRIARCREST AVE # 110, MEMPHIS, TN 38120-4023
(901) 259-1600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000003568
TN
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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