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

Individual provider Athletic Trainer · NPI 1770180903

Kenneth Lassiter, MS, ATC, LAT is an Athletic Trainer in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

1200 Murchison Rd
Fayetteville, NC 28301-4252
Phone: (336) 953-0668
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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 20000190028 (NC)

Record details

NPI number1770180903
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT
Sole proprietorNo
NPI enumeratedOctober 1, 2020
Last updated in NPPESDecember 23, 2021
Certification dateAugust 2, 2021
Mailing address6528 Tampico Ct, Fayetteville, NC 28303-2334

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