IndividualActive
Daniel Massirer, LAT, ATC
NPI 1013304203 · Athletic Trainer · Paragould, AR
Provider details
- NPI number
- 1013304203
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 813 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1701 W Court St
Paragould, AR 72450-4093
Phone: (870) 240-2271
Approximate (ZIP-level) locationGet directions
Mailing address
3518 E Thomas Green Rd
Jonesboro, AR 72405-8217
Additional practice locations (1)
- 900 W KingshighwayParagould, AR 72450-5942Phone: (501) 837-1525
Registry dates
- Enumerated
- 2015-04-25
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.