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

Tiffany Michelle Ladonna Wilson

Individual provider Athletic Trainer · NPI 1619592474

Tiffany Michelle Ladonna Wilson is an Athletic Trainer in Cleveland, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio and Tennessee.

Licensed in
OH, TN
In the registry since
2020
Specialties on file
4

Practice location Address checks out

3575 Keith St NW Ste 205
Cleveland, TN 37312-4326
Phone: (423) 559-0444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 W Bancroft St, Toledo, OH 43606-3328 — (800) 586-5336

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2966 (TN)
Athletic Trainer Taxonomy 2255A2300X (OH)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1619592474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022

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