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

Miss. Misty Siobhan Tate, MBA, LAT, ATC

Individual provider Athletic Trainer · NPI 1912279217

Miss. Misty Siobhan Tate, MBA, LAT, ATC is an Athletic Trainer in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
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

4400 Golf Acres Dr Bldg J Ste D
Charlotte, NC 28208-5990
Phone: (704) 774-7421
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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 1404 (NC)

Record details

NPI number1912279217
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBA , LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 1, 2012
Last updated in NPPESFebruary 1, 2012

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