NPI 1265218523

Dakari Branch

Practitioner Athletic Trainer Forest, VA

Practice location

Address: 1012 Westyn Terrace Loop APT 102, Forest, VA 24551-5058
Phone: (804) 704-5808

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1265218523
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2023
Record last updated: 4 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.