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

Justin Tyler Shaw, LAT, ATC

Individual provider Athletic Trainer · NPI 1376045054

Justin Tyler Shaw, LAT, ATC is an Athletic Trainer in Allen, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2018
Specialties on file
3
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

368 N Greenville Ave
Allen, TX 75002-2232
Phone: (972) 396-6975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 S Nedderman Dr, Arlington, TX 76019-9800 — (817) 272-2011

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT7790 (TX)
Athletic Trainer Taxonomy 2255A2300X (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TX)

Record details

NPI number1376045054
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

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