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

Robert McNulty, LAT, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477926343

Robert McNulty, LAT, ATC is a Student in an Organized Health Care Education/Training Program in Libertyville, Illinois. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
Specialties on file
2
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

1313 Crane Blvd
Libertyville, IL 60048
Phone: (847) 421-4282
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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 AT7035 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477926343
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedNovember 2, 2015
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address1528 Shining Armor Ln, West Lafayette, IN 47906-5475

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