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

Taylor Beavers, LAT, ATC

Individual provider Athletic Trainer · NPI 1124579008

Taylor Beavers, LAT, ATC is an Athletic Trainer in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016
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

11200 Governor Manly Way
Raleigh, NC 27614-8599
Phone: (330) 819-7243
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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 LAT-2837 (NC)

Record details

NPI number1124579008
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedOctober 17, 2016
Last updated in NPPESOctober 17, 2016
Mailing address429 Fowlkes St, Wendell, NC 27591-7763

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