person
Mark Daniels, LAT,MS,ATC
Specialist in Webster Groves, Missouri
NPI 1205249257

Mark Daniels is a Specialist based in Webster Groves, MO. Mark Daniels practices in Webster Groves, MO and has the professional credentials of LAT,MS,ATC. The NPI Number for Mark Daniels is 1205249257 and holds a License No. 00036 (Missouri).

The current practice location address for Mark Daniels is 630 S Elm Ave, Webster Groves, MO and can be reached out via phone at 417-839-9920.

Location: 630 S Elm Ave, Webster Groves, MO, 63119-4047
person
Provider Profile Details
NPI Number
1205249257
Provider Name
Mark Daniels
Credential
LAT,MS,ATC
Provider Entity Type
Individual
Gender
Male
Address
630 S Elm Ave, Webster Groves, MO, 63119-4047
Phone Number
417-839-9920
Fax Number
Provider Enumeration Date
06/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00036 01 MO LICENSED ATHLETIC TRAINER
institution
Provider Business Practice Location Address Details
Address
630 S Elm Ave
City
State
Zip
63119-4047
Phone Number
417-839-9920
Fax Number
person
Provider Business Mailing Address Details
Address
630 S Elm Ave
City
State
Zip
63119-4047
Phone Number
417-839-9920
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
00036 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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