Hunter Dawson

Individual provider Active NPI Athletic Trainer · Saltillo, MS

NPI 1144629007 · NPPES record last updated Aug 17, 2014

Key facts

NPI
1144629007
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT0498 (MS)
Practice address
117 Gardenview Dr
Saltillo, MS 38866-7953
Phone
(662) 397-4402
NPI assigned
Aug 17, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT0498MSMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT0498 MS Yes

Addresses

Primary practice location

117 Gardenview Dr
Saltillo, MS 38866-7953

Mailing address

117 Gardenview Dr
Saltillo, MS 38866-7953

Other providers in Saltillo, MS

All providers in Saltillo, MS · Athletic Trainer in Mississippi

Sources for this page

Verify at the official NPI Registry.