Daniel Wendell Diers, MPT, ATC

Athletic Trainer · Laurel, MS

Individual Active NPI

NPI number 1275663304

Practice location

23 Mason St
Laurel, MS 39440-4437
Phone
(601) 399-0534
Fax
(601) 425-7585

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NPI record

NPI
1275663304
Entity type
Individual (Type 1)
Enumeration date
March 7, 2007
Last updated
September 11, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT0274 MS
Physical Therapist 225100000X PT3215 MS

Mailing address

92 Merchant Cir
Ellisville, MS 39437-8709
Phone
(601) 319-1518

About Daniel Diers

Daniel Wendell Diers, MPT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 23 Mason St, Laurel, MS 39440-4437. The NPI number 1275663304 was assigned on March 7, 2007 and the record was last updated on September 11, 2025.

Daniel Diers lists 2 licenses in the registry: #AT0274 (MS) for Athletic Trainer; #PT3215 (MS) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Wendell Diers, MPT, ATC?

The NPI number is 1275663304.

What is the phone number of Daniel Diers?

The phone number listed for the practice location is (601) 399-0534.

Where is Daniel Diers located?

23 Mason St, Laurel, MS 39440-4437.

What is the taxonomy code for Daniel Diers?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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