Seth Daley
Individual provider Active NPI Athletic Trainer · Thatcher, AZ
NPI 1396201158 · NPPES record last updated Feb 18, 2019
Key facts
- NPI
- 1396201158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 790 N Stadium Ave
Thatcher, AZ 85552-5560 - Phone
- (928) 651-5628
- NPI assigned
- Feb 18, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
790 N Stadium Ave
Thatcher, AZ 85552-5560
Mailing address
790 N Stadium Ave
Thatcher, AZ 85552-5560
Other providers in Thatcher, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.