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

Mr. Tynan Hancock Davis, ATC, LAT

Individual provider Athletic Trainer · NPI 1720570096

Mr. Tynan Hancock Davis, ATC, LAT is an Athletic Trainer in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
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

839 W Roosevelt Rd
Chicago, IL 60608-1530
Phone: (510) 301-3364
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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 096.004298 (IL)

Record details

NPI number1720570096
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedJune 3, 2018
Last updated in NPPESJune 3, 2018

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