Provider Demographics
NPI:1356832851
Name:HUGGINS, DANIEL PAUL (ATC, LAT, PTA, CEAS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PAUL
Last Name:HUGGINS
Suffix:
Gender:M
Credentials:ATC, LAT, PTA, CEAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 SAINT IVES BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-9400
Mailing Address - Country:US
Mailing Address - Phone:770-634-9261
Mailing Address - Fax:
Practice Address - Street 1:1410 SEVIERVILLE RD
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5108
Practice Address - Country:US
Practice Address - Phone:770-634-9261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6764225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant