Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON KYLE DAUGHERTY, LAT, ATC
Active Sole ProprietorMR. JASON KYLE DAUGHERTY, LAT, ATC is a Athletic Trainer healthcare provider located in CRANDALL, Texas. NPI 1407132558 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CRANDALL, TX
Registration Details
- NPI Number
- 1407132558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2011 (14.76569196146 yrs)
- Last Updated
- Nov 2, 2011
- License
-
AT2638 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13385 FM 3039CRANDALL, TX, 751144818Browse TX providers · Browse ZIP 75114
- Phone
- 9724276150
- Fax
- 9724276133
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CRANDALL, TX
| Name | Credential | NPI |
|---|---|---|
| IZAEL ORLANDO HERRERA | — | 1427771138 |
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.