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

Tait Carlisle, LAT, ATC

Individual provider Athletic Trainer · NPI 1508384835

Tait Carlisle, LAT, ATC is an Athletic Trainer in Hattiesburg, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2017
Specialties on file
3
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

118 College Dr
Hattiesburg, MS 39406-0001
Phone: (601) 266-5104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 718 Magnolia Drive, Tuscaloosa, AL 35487-0001 — (205) 915-5257

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT0923 (MS)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508384835
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESAugust 30, 2020
Certification dateAugust 30, 2020

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