Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN MICHAEL TACKETT, MS, ATC/L
ActiveMR. SHAWN MICHAEL TACKETT, MS, ATC/L is a Athletic Trainer healthcare provider located in BATESVILLE, Arkansas. NPI 1538133459 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BATESVILLE, AR
Registration Details
- NPI Number
- 1538133459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2006 (20.45694630913 yrs)
- Last Updated
- Nov 29, 2011
- License
-
AT 362 (AR)
Practice Information
- Address
-
2300 HIGHLAND RDBATESVILLE, AR, 725013629Browse AR providers · Browse ZIP 72501
- Phone
- 8703077331
- Fax
- 8703077524
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BATESVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| JEREMIAH SETH SANDERS | ATC/LAT | 1811072937 |
| JONATHAN BLAKE ROGERS | LAT, ATC | 1861936817 |
| LEONARD D DEFLORIAN | — | 1598285553 |
| VICTORIA MARIE LAM | LAT/ATC | 1770008542 |
| SARAH SCHOWENGERDT | ATC | 1376216564 |
| CHASE ESCUE | — | 1487338596 |
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.