IndividualActive
Blake Hines, ATC, NASM-PES, MA
NPI 1821486218 · Athletic Trainer · Brandon, MS
Provider details
- NPI number
- 1821486218
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, NASM-PES, MA
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT0524 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
214 Meadowlands Dr
Brandon, MS 39047-9070
Phone: (601) 760-2139
Approximate (ZIP-level) locationGet directions
Mailing address
214 Meadowlands Dr
Brandon, MS 39047-9070
Registry dates
- Enumerated
- 2015-01-07
- Last updated
- 2015-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.