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

Derrick Davis

Individual provider Athletic Trainer · NPI 1801203609

Derrick Davis is an Athletic Trainer in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014

Practice location Address checks out

1063 Duckwood Dr Apt 205
Eagan, MN 55123-1206
Phone: (612) 518-6455
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2527 (MN)

Record details

NPI number1801203609
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESJuly 14, 2014
Mailing address1063 Duckwood Dr Apt 205, Eagan, MN 55123-1206

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