DANIEL CHASE WILKERSON

TUPELO, MS
NPI1255065371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0737)
Enumeration Date2022-07-13
Last Update Date2022-07-13
Business Address
DANIEL CHASE WILKERSON ATC,LAT
1230 CLAYTON AVE
TUPELO, MS 38804-1825
Phone number: 662-416-6094
Mailing Address
DANIEL CHASE WILKERSON ATC,LAT
1230 CLAYTON AVE
TUPELO, MS 38804-1825
Phone number: 662-416-6094