Mrs. Mieka L Davis, ATC, CMT
Specialist/Technologist, Athletic Trainer in Westborough, Massachusetts
1558398107- Practice location
- 20 South Street, Westborough, MA 01581
- Phone
- 508-277-4156
- Fax
- —
- Last updated
- March 31, 2015
Mieka Lise Davis is a Specialist/Technologist, Athletic Trainer based in Westborough, MA. Mieka Lise Davis practices in Westborough, MA and has the professional credentials of ATC, CMT. The NPI Number for Mieka Lise Davis is 1558398107 and holds a License No. 771 (MA). The current practice location address for Mieka Lise Davis is 20 South Street, Westborough, MA 01581 and can be reached out via phone at 508-277-4156.
Provider Profile Details
- NPI Number
- 1558398107
- Provider Name
- Mieka Lise Davis
- Credential
- ATC, CMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 South Street, Westborough, MA 01581
- Phone Number
- 508-277-4156
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 27, 2006
- Last Update Date
- March 31, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 South Street
Westborough, MA 01581 - City
- Westborough
- State
- Massachusetts
- Zip
- 01581
- Phone Number
- 508-277-4156
Provider Business Mailing Address Details
- Address
- 36 Worthington Ave
Shrewsbury, MA 01545 - City
- Shrewsbury
- State
- MA
- Zip
- 01545
- Phone Number
- 508-277-4156
License Information
- License Number (1)
- 771
- License State (1)
- MA
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 7426
- License State (2)
- MA
- Taxonomy (2)
- Massage Therapist · 225700000X
- License Number (3)
- 771AT
- License State (3)
- MA
- Taxonomy (3)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
- License Number (4)
- 7426MT
- License State (4)
- MA
- Taxonomy (4)
- Massage Therapist · 225700000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Westborough, MA
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Frequently Asked Questions
What is the NPI number of Mrs. Mieka L Davis, ATC, CMT?
The NPI number of Mrs. Mieka L Davis, ATC, CMT is 1558398107. It was assigned on June 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Mieka L Davis, ATC, CMT?
Mrs. Mieka L Davis, ATC, CMT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 771.
Where does Mrs. Mieka L Davis, ATC, CMT practice?
The practice location is 20 South Street, Westborough, MA 01581. The office can be reached at 508-277-4156 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558398107 directly on the NPPES registry website.