Provider Demographics
NPI:1487850632
Name:HUFFMAN, DANIEL H (ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 ROAD 63
Mailing Address - Street 2:
Mailing Address - City:POTTER
Mailing Address - State:NE
Mailing Address - Zip Code:69156
Mailing Address - Country:US
Mailing Address - Phone:308-235-8463
Mailing Address - Fax:
Practice Address - Street 1:MASSIE AND EMMIT STREET
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903
Practice Address - Country:US
Practice Address - Phone:434-243-2418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260010652255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer