Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathan C Maynard, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1346695533

Nathan C Maynard, MS, LAT, ATC is an Athletic Trainer in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Kentucky, Missouri and Tennessee.

Licensed in
KY, MO, TN
In the registry since
2016
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (573) 233-5911
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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 AT2259 (KY)
Athletic Trainer Taxonomy 2255A2300X · Licence 3295 (TN)
Athletic Trainer Taxonomy 2255A2300X · Licence 2019020157 (MO)

Record details

NPI number1346695533
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedApril 26, 2016
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address517 Eysian Rd, Clarksville, TN 37040-6581

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