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

Taylor Nicole Theobald, MAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1407310469

Taylor Nicole Theobald, MAT, LAT, ATC is an Athletic Trainer in Austin, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019
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

11210 W US 290 Hwy # A230
Austin, TX 78737-1902
Phone: (512) 362-8865
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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 AT7966 (TX)

Record details

NPI number1407310469
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , LAT , ATC
Sole proprietorNo
NPI enumeratedJanuary 24, 2019
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020

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