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

Daniel Takata, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801318720

Daniel Takata, ATC is a Student in an Organized Health Care Education/Training Program in Ruston, Louisiana. Works from 4 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1650 W Alabama Ave
Ruston, LA 71270-3120
Phone: (773) 706-4540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Jets Dr, Florham Park, NJ 07932-1215 — (773) 706-4540
  • 720 E 4th St, Chattanooga, TN 37403-1925 — (773) 706-4540
  • 245 Saponi Ln, Charlottesville, VA 22901 — (773) 706-4540

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801318720
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address5127 N Nordica Ave, Chicago, IL 60656-3605

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