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

Mr. Stanley Wayne Craddock, LAT

Individual provider Athletic Trainer · NPI 1619905478

Mr. Stanley Wayne Craddock, LAT is an Athletic Trainer in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

7301 Sardis Rd
Charlotte, NC 28270-6063
Phone: (704) 363-7147
Fax: (704) 366-5678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0086 (NC)

Record details

NPI number1619905478
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3208 Raven Glen Ct, Charlotte, NC 28212-1509

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