IndividualActive
Daniel Waterman, DAT, LAT, ATC
NPI 1841639192 · Athletic Trainer · Wilton, ME
Provider details
- NPI number
- 1841639192
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DAT, LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT369 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1408 Main St
Wilton, ME 04294-3830
Phone: (603) 313-4227
Approximate (ZIP-level) locationGet directions
Mailing address
165 Ellsworth Rd Apt 3a
Blue Hill, ME 04614-5423
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2022-05-09
- Certified
- 2022-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.