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

Mr. Kenneth Sean Willeford, ATC, LAT

Individual provider Athletic Trainer · NPI 1376637223

Mr. Kenneth Sean Willeford, ATC, LAT is an Athletic Trainer in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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

3005 Stadium Dr
Fort Worth, TX 76109
Phone: (817) 257-6737
Fax: (817) 257-7702
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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 AT3465 (TX)

Record details

NPI number1376637223
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007

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