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

Dara E Moak, ATC

Individual provider Athletic Trainer · NPI 1083053763

Dara E Moak, ATC is an Athletic Trainer in Brookhaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

507 Highway 51 N
Brookhaven, MS 39601-2334
Phone: (601) 835-0842
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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 AT0441 (MS)

Record details

NPI number1083053763
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 17, 2013
Last updated in NPPESJune 17, 2013
Mailing address2625 Heucks Retreat Rd Ne, Wesson, MS 39191-9467

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