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

Individual provider Athletic Trainer · NPI 1669820130

Mikayla Ashlyn Moore, MAT, ATC is an Athletic Trainer in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

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

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Practice location Address checks out

14701 Copper Ridge Blvd
Tyler, TX 75706-3364
Phone: (903) 714-3515
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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 2000023668 (TX)

Record details

NPI number1669820130
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , ATC
Sole proprietorYes
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 25, 2016

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