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

Mr. Robert Carl Detwyler, ATC, LAT

Individual provider Athletic Trainer · NPI 1245288463

Mr. Robert Carl Detwyler, ATC, LAT is an Athletic Trainer in Greenville, South Carolina. Licensed in Florida and South Carolina. Registered with an NPI since 2006.

Licensed in
FL, SC
In the registry since
2006
Specialties on file
2
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

200 Patewood Dr Ste 100
Greenville, SC 29615-3593
Phone: (864) 436-1837
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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 AT1042 (SC)
Athletic Trainer Taxonomy 2255A2300X · Licence AL386 (FL)

Record details

NPI number1245288463
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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