IndividualActive
Benjamin Davis, ATC
NPI 1518460740 · Athletic Trainer · Blue Springs, MS
Provider details
- NPI number
- 1518460740
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2000018226 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1200 Magnolia Way
Blue Springs, MS 38828-6000
Phone: (662) 317-3229
Fax: (662) 317-3216
Approximate (ZIP-level) locationGet directions
Mailing address
2804 Confederate Ave
Tupelo, MS 38801-4104
Registry dates
- Enumerated
- 2018-03-14
- Last updated
- 2018-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.