IndividualActive
Daniel Wilkerson, ATC,LAT
NPI 1255065371 · Athletic Trainer · Tupelo, MS
Provider details
- NPI number
- 1255065371
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC,LAT
- Sex
- Male
- Sole proprietor
- No
- License
- AT0737 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1230 Clayton Ave
Tupelo, MS 38804-1825
Phone: (662) 416-6094
Approximate (ZIP-level) locationGet directions
Mailing address
1230 Clayton Ave
Tupelo, MS 38804-1825
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2022-07-13
- Certified
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.