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

Mrs. Audrey Shae Willingham, LAT, ATC

Individual provider Athletic Trainer · NPI 1538558275

Mrs. Audrey Shae Willingham, LAT, ATC is an Athletic Trainer in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015
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

2137 W Skyler Dr
Fayetteville, AR 72703-1274
Phone: (417) 793-1232
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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 AT 757 (AR)

Record details

NPI number1538558275
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJanuary 19, 2015
Last updated in NPPESOctober 26, 2016

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