- Practice location
- 1650 W Alabama Ave, Ruston, LA 71270-3120
- Phone
- 773-706-4540
- Fax
- —
- Last updated
- June 10, 2025
Daniel Takata is a Specialist/Technologist, Athletic Trainer based in Ruston, LA. Daniel Takata practices in Ruston, LA and has the professional credentials of ATC. The NPI Number for Daniel Takata is 1801318720. The current practice location address for Daniel Takata is 1650 W Alabama Ave, Ruston, LA 71270-3120 and can be reached out via phone at 773-706-4540.
Provider Profile Details
- NPI Number
- 1801318720
- Provider Name
- Daniel Takata
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1650 W Alabama Ave, Ruston, LA 71270-3120
- Phone Number
- 773-706-4540
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 12, 2017
- Last Update Date
- June 10, 2025
- Certification Date
- June 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1650 W Alabama Ave
Ruston, LA 71270-3120 - City
- Ruston
- State
- Louisiana
- Zip
- 71270-3120
- Phone Number
- 773-706-4540
Provider Business Mailing Address Details
- Address
- 5127 N Nordica Ave
Chicago, IL 60656-3605 - City
- Chicago
- State
- IL
- Zip
- 60656-3605
- Phone Number
- 773-706-4540
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
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 Ruston, LA
View all Specialist/Technologist, Athletic Trainers in Ruston →Frequently Asked Questions
What is the NPI number of Daniel Takata, ATC?
The NPI number of Daniel Takata, ATC is 1801318720. It was assigned on July 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Daniel Takata, ATC?
Daniel Takata, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).
Where does Daniel Takata, ATC practice?
The practice location is 1650 W Alabama Ave, Ruston, LA 71270-3120. The office can be reached at 773-706-4540 (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 1801318720 directly on the NPPES registry website.