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

MR. STEPHEN PAUL MOCK, ATC

Active Sole Proprietor

Athletic Trainer · MISSISSIPPI STATE, MS

Registration Details

NPI Number
1780787622
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2006 (19.686872986136 yrs)
Last Updated
Jul 8, 2007
License
AT0030 (MS)
Sole Proprietor
Yes

Practice Information

Address
1 SHIRA FIELDHOUSE
LAKEVIEW DRIVE
MISSISSIPPI STATE, MS, 39762
Browse MS providers · Browse ZIP 39762
Phone
6623252165
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MISSISSIPPI STATE, MS

Name Credential NPI
MS. MARY KATHRYN MCLENDON ATC 1366455685
MRS. LINDSEY T GENTRY ATC 1376667949
CHRISTOPHER SCOTT JOHNSON A.T.C. 1134339898
OLIVIA VITA-FARNSWORTH MS, LAT, ATC 1497163422
BRITTANY WINTER ATC 1912440082
SCOTT ANDERSEN 1235921107
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.