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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MIEKA LISE DAVIS, ATC, CMT

Active Sole Proprietor

MRS. MIEKA LISE DAVIS, ATC, CMT is a Athletic Trainer healthcare provider located in WESTBOROUGH, Massachusetts. NPI 1558398107 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WESTBOROUGH, MA

Registration Details

NPI Number
1558398107
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2006 (20.100732939715 yrs)
Last Updated
Mar 31, 2015
Licenses
771 (MA)
7426 (MA)
771AT (MA)
7426MT (MA)
Sole Proprietor
Yes

Practice Information

Address
20 SOUTH STREET
WESTBOROUGH, MA, 01581
Browse MA providers · Browse ZIP 01581
Phone
5082774156
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Massage Therapist
Additional Specialty
Athletic Trainer
Additional Specialty
Massage Therapist

Other Athletic Trainer Providers in WESTBOROUGH, MA

Name Credential NPI
MR. AARON T WOLFE ATC 1518986165
VALERIE ANN HAMEL LAT 1588791271
BRUCE ROBERT MENDELSOHN 1588200992
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.