NPI Index

MR. TIMOTHY DAVIS, ATC,PTA

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1245353325

Practice Address

900 N WASHINGTON ST
Du Quoin, IL 62832

Phone: (618) 542-2146

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes -

Frequently Asked Questions

NPI 1245353325 is the National Provider Identifier for MR. TIMOTHY DAVIS, ATC,PTA, a Specialist/Technologist - Athletic Trainer provider located in Du Quoin, IL. This NPI was enumerated on April 6, 2007.
MR. TIMOTHY DAVIS, ATC,PTA practices at 900 N WASHINGTON ST, Du Quoin, IL 62832.

Quick Facts

NPI
1245353325
Type
Individual
Enumerated
Apr 6, 2007
Last Updated
Jul 8, 2007

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