Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candace Douglas, MA, ATC

Individual provider Athletic Trainer · NPI 1265846638

Candace Douglas, MA, ATC is an Athletic Trainer in Kettering, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5450 Montgomery Square Dr Apt G
Kettering, OH 45440-2952
Phone: (937) 367-3200
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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 AT.003574 (OH)

Record details

NPI number1265846638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , ATC
Sole proprietorYes
NPI enumeratedJune 13, 2014
Last updated in NPPESJune 13, 2014

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