Individual
DOUGLAS BLAKE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
8006 FENWICK LN, SPRING HILL, TN 37174-9528
(931) 638-2398
Mailing address
8006 FENWICK LN, SPRING HILL, TN 37174-9528
(931) 638-2398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2268
TN
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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