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

Nathan Shackelford

Individual provider Exercise & Sports Psychologist · NPI 1073483103

Nathan Shackelford is an Exercise & Sports Psychologist in Hickory, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

315 1st Ave NW Ste 101
Hickory, NC 28601-6169
Phone: (828) 322-6979
Show map & directions

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

Specialties & licences

Exercise & Sports Psychologist (primary) Taxonomy 103TE1100X (NC)

Record details

NPI number1073483103
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address315 1st Ave Nw Ste 101, Hickory, NC 28601-6169