NPI 1275663304

Daniel Wendell Diers, MPTATC

Practitioner Athletic Trainer Laurel, MS

Practice location

Address: 23 Mason St, Laurel, MS 39440-4437
Phone: (601) 399-0534
Fax: (601) 425-7585
Mailing address: 92 Merchant Cir, Ellisville, MS 39437-8709

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0274 (MS)

Other Specialist/Technologist providers in Mississippi →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT3215 (MS)

Other Physical Therapist providers in Mississippi →

Registry record

NPI: 1275663304
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 11 Sep 2025

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.