Caleb Daniel, ATC

Individual provider Active NPI Athletic Trainer · Arkadelphia, AR

NPI 1750767679 · NPPES record last updated Aug 3, 2015

Key facts

NPI
1750767679
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT 683 (AR)
Practice address
1100 Henderson St
Hsu Box 7894
Arkadelphia, AR 71999-0001
Phone
(870) 230-5426
Fax
(870) 230-5175
NPI assigned
Aug 3, 2015
Sex
Male
Sole proprietor
No

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
AT 683ARMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT 683 AR Yes

Addresses

Primary practice location

1100 Henderson St
Hsu Box 7894
Arkadelphia, AR 71999-0001

Mailing address

707 Briar Ridge CT
Jacksonville, AR 72076-5367
Phone (501) 982-5632

Other providers in Arkadelphia, AR

All providers in Arkadelphia, AR · Athletic Trainer in Arkansas

Sources for this page

Verify at the official NPI Registry.