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

Thomas M Halloran, LAT, ATC

Individual provider Athletic Trainer · NPI 1083113120

Thomas M Halloran, LAT, ATC is an Athletic Trainer in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
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

8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692
Phone: (704) 900-8960
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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-3637 (NC)

Record details

NPI number1083113120
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 5, 2018
Last updated in NPPESFebruary 5, 2018

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