Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blake Harrison Hines, ATC, NASM-PES, MA

Individual provider Athletic Trainer · NPI 1821486218

Blake Harrison Hines, ATC, NASM-PES, MA is an Athletic Trainer in Brandon, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

214 Meadowlands Dr
Brandon, MS 39047-9070
Phone: (601) 760-2139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT0524 (MS)

Record details

NPI number1821486218
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , NASM-PES , MA
Sole proprietorYes
NPI enumeratedJanuary 7, 2015
Last updated in NPPESJanuary 7, 2015

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