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CANDACE DOUGLAS MA,ATC
NPI 1265846638
Specialist/Technologist - Athletic Trainer in Kettering, OH

Active since June 13, 2014
5450 MONTGOMERY SQUARE DR, APT G, KETTERING, OH 45440(937) 367-3200 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candace Douglas Ma,atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE DOUGLAS MA,ATC (NPI 1265846638) is an individual athletic trainer provider in Kettering, Ohio, licensed in Ohio (AT.003574) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1265846638
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCANDACE DOUGLASCredential: MA,ATC
Location Address5450 MONTGOMERY SQUARE DR, APT GKettering, OH 45440-2952
Mailing Address5450 Montgomery Square Dr, Apt GKettering, OH 45440-2952 · (937) 367-3200
Phone(937) 367-3200
Sole ProprietorYes
Enumeration DateJune 13, 2014
✔ NPI 1265846638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in OH · AT.003574
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
5450 MONTGOMERY SQUARE DR, Kettering, OH 45440
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Other Names 1

Former Name (1)Candace Baker Ma,atc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENECIA LAHSAY POPE
Home Health Aide
5450 MONTGOMERY SQUARE DR
DAYTON, OH 45440
Montgomery County (937) 309-6397

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Douglas's NPI number?

The NPI number for Candace Douglas is 1265846638. It was assigned to this individual provider in the NPPES registry on June 13, 2014. The provider is also known as Candace Baker Ma,atc.

Where is Candace Douglas located?

Candace Douglas practices at 5450 Montgomery Square Dr Apt G, Kettering, OH 45440. The listed phone number is (937) 367-3200.

What is Candace Douglas's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Candace Douglas was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.