Blake Harrison Hines, ATC, NASM-PES, MA
NPI #1821486218 in Brandon, Mississippi
Provider Information
- NPI Number
- 1821486218
- Entity Type
- Individual
- Name
- Blake Harrison Hines, ATC, NASM-PES, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, NASM-PES, MA
- Enumeration Date
- Jan 7, 2015
- Last Updated
- Jan 7, 2015
Practice Location
- Address
- 214 MEADOWLANDS DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-9070
- Phone
- (601) 760-2139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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