Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER SHADE
Active Sole ProprietorTYLER SHADE is a Athletic Trainer healthcare provider located in SHELBY, North Carolina. NPI 1174117212 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SHELBY, NC
Registration Details
- NPI Number
- 1174117212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2021 (5.419256694677 yrs)
- Last Updated
- Mar 1, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
905 LINNEY LN # ASHELBY, NC, 281526411Browse NC providers · Browse ZIP 28152
- Phone
- 9803390927
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SHELBY, NC
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES MICHAEL PREVOST | EDD, SCAT, ATC | 1467441626 |
| MISS KATHLEEN PATRICIA AYOTTE | ATC, LAT | 1942430756 |
| MRS. MELISSA RAY | MS, LAT, ATC | 1588058374 |
| BRANDY LEACH | ATC | 1861886061 |
| VICTORIA ANN BEAM | ATC | 1700261252 |
| MR. CLYDE DONALD HASTINGS III | LAT, ATC | 1720595077 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.