Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Derek S Shaffer, ATC, LAT

Individual provider Athletic Trainer · NPI 1023235439

Mr. Derek S Shaffer, ATC, LAT is an Athletic Trainer in Cabot, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2007
What do these letters mean?
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

1055 Highland Blvd
Cabot, AR 72023-6001
Phone: (501) 412-3717
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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 AT370 (AR)

Record details

NPI number1023235439
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1055 Highland Blvd, Cabot, AR 72023-6001

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