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

Detraves Neville Thicklin, ATC

Individual provider Athletic Trainer · NPI 1184167686

Detraves Neville Thicklin, ATC is an Athletic Trainer in Soddy Daisy, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

210 Walmart Dr Ste 100
Soddy Daisy, TN 37379-5022
Phone: (423) 332-9490
Fax: (423) 332-3817
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (TN)

Record details

NPI number1184167686
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 1, 2016
Last updated in NPPESDecember 1, 2016

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