Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DARA E MOAK, ATC
ActiveDARA E MOAK, ATC is a Athletic Trainer healthcare provider located in BROOKHAVEN, Mississippi. NPI 1083053763 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BROOKHAVEN, MS
Registration Details
- NPI Number
- 1083053763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2013 (13.125373284281 yrs)
- Last Updated
- Jun 17, 2013
- License
-
AT0441 (MS)
Practice Information
- Address
-
507 HIGHWAY 51 NBROOKHAVEN, MS, 396012334Browse MS providers · Browse ZIP 39601
- Phone
- 6018350842
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BROOKHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| CAROLE RIDER | — | 1700282860 |
| KIMBERLY BURR | ATC,LAT | 1902278997 |
| MELANIE SMITH | — | 1851742639 |
| MS. TINA THOMAS | MA, LAT, ATC | 1598117749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.