Provider Demographics
NPI:1932409216
Name:SPRINGER, DANIEL BRUCE (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:BRUCE
Last Name:SPRINGER
Suffix:
Gender:M
Credentials:LAT, ATC
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1219 6TH AVE SOUTH
Mailing Address - Street 2:FOOTBALL OPERATIONS BUILDING 110
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233
Mailing Address - Country:US
Mailing Address - Phone:205-975-9256
Mailing Address - Fax:205-975-7228
Practice Address - Street 1:1219 6TH AVE SOUTH
Practice Address - Street 2:FOOTBALL OPERATIONS BUILDING 110
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-975-9256
Practice Address - Fax:205-975-7228
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL12252255A2300X, 2255A2300X
183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No183700000XPharmacy Service ProvidersPharmacy Technician