IndividualActive
Daryl Kendrick, ATC-L, CSCS
NPI 1629300280 · Athletic Trainer · Jackson, MS
Provider details
- NPI number
- 1629300280
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC-L, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- AT0365 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1325 E Fortification St
Jackson, MS 39202-2442
Phone: (601) 354-4488
Approximate (ZIP-level) locationGet directions
Mailing address
1325 E Fortification St
Jackson, MS 39202-2442
Registry dates
- Enumerated
- 2010-02-08
- Last updated
- 2010-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.