DOUGLAS BLAKE DANIEL

SPRING HILL, TN
NPI1639866189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  2268)
Enumeration Date2023-04-24
Last Update Date2023-04-24
Business Address
DOUGLAS BLAKE DANIEL MS, ATC, LAT
8006 FENWICK LN
SPRING HILL, TN 37174-9528
Phone number: 931-638-2398
Mailing Address
DOUGLAS BLAKE DANIEL MS, ATC, LAT
8006 FENWICK LN
SPRING HILL, TN 37174-9528
Phone number: 931-638-2398