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JAIRUS DANIEL ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1316206527

Individual Registrant:
 JAIRUS  DANIEL ATC
Gender: M
Sole Proprietor

Location and contact information for practice:
1 COLLEGE DR UWA STATION 14 LIVINGSTON, AL 35470-2098 US
Tel: 205-652-3877  Fax: --

Contact information for business:
1 COLLEGE DR UWA STATION 14 LIVINGSTON, AL 35470-2098 US
Tel: --  Fax: --

Registration Information:
NPI: 1316206527
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
AL1356

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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