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

Individual provider Athletic Trainer · NPI 1366088692

Colin Mark Shillinglaw, ATC, LAT is an Athletic Trainer in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1319 Earl Campbell Pkwy
Tyler, TX 75701-9697
Phone: (903) 262-1000
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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 1039 (TX)

Record details

NPI number1366088692
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedNovember 21, 2019
Last updated in NPPESNovember 21, 2019

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