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

Mackenzie Danielle Wilder, LAT, ATC

Individual provider Athletic Trainer · NPI 1467277996

Mackenzie Danielle Wilder, LAT, ATC is an Athletic Trainer in Athens, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
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

708 E College St
Athens, TX 75751-2619
Phone: (843) 476-0637
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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 AT10184 (TX)

Record details

NPI number1467277996
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESJuly 10, 2025
Certification dateJune 23, 2025

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