Individual
MR. DANIEL MARK COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
200 N 7TH ST, TERRE HAUTE, IN 47809-1902
(812) 237-6311
Mailing address
1776 SPRINGHAVEN CIR NE, MASSILLON, OH 44646-2571
(330) 844-3520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001950A
IN
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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