IndividualActive
Daniel Diers, MPT, ATC
NPI 1275663304 · Athletic Trainer · Laurel, MS
Provider details
- NPI number
- 1275663304
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- PT3215 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
23 Mason St
Laurel, MS 39440-4437
Phone: (601) 399-0534
Fax: (601) 425-7585
Approximate (ZIP-level) locationGet directions
Mailing address
92 Merchant Cir
Ellisville, MS 39437-8709
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.