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

Mr. Josiah Alexander Maultsby IV, LAT, ATC

Individual provider Athletic Trainer · NPI 1568768729

Mr. Josiah Alexander Maultsby IV, LAT, ATC is an Athletic Trainer in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
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

3100 Duraleigh Rd Ste 100
Raleigh, NC 27612-8106
Phone: (919) 866-4207
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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 1577 (NC)

Record details

NPI number1568768729
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 7, 2011
Last updated in NPPESFebruary 7, 2011

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