Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Dominic L Moreno, MED, ATC, LAT

Individual provider Athletic Trainer · NPI 1639227929

Mr. Dominic L Moreno, MED, ATC, LAT is an Athletic Trainer in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
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

128 Uca Prince Ctr 201 Donaghey
Conway, AR 72035-0001
Phone: (501) 852-7748
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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 AT 386 (AR)

Record details

NPI number1639227929
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , ATC , LAT
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007

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