Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAKE R WALDEN, ATC
ActiveMR. DAKE R WALDEN, ATC is a Athletic Trainer healthcare provider located in EARTH CITY, Missouri. NPI 1124155890 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EARTH CITY, MO
Registration Details
- NPI Number
- 1124155890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2007 (19.421575042727 yrs)
- Last Updated
- Jul 8, 2007
- License
-
110382 (MO)
Practice Information
- Address
-
1 RAMS WAYEARTH CITY, MO, 630451523Browse MO providers · Browse ZIP 63045
- Phone
- 3145168735
- Fax
- 3145168777
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in EARTH CITY, MO
| Name | Credential | NPI |
|---|---|---|
| JAMES A. LOMAX | ATC | 1184751299 |
| MR. JAMES HOWARD ANDERSON | — | 1356478242 |
| BYRON CUNNINGHAM | P.T., ATC | 1427287556 |
| TYLER WILLIAMS | — | 1447674353 |
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.