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

Individual provider Athletic Trainer · NPI 1508142647

Tim Newell Jr., LAT, ATC is an Athletic Trainer in Crestview Hills, Kentucky. Practices as a sole proprietor. Licensed in Kentucky and Ohio.

Licensed in
KY, OH
In the registry since
2011
Specialties on file
2
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

333 Thomas More Pkwy
Crestview Hills, KY 41017-3428
Phone: (859) 344-3635
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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 AT1212 (KY)
Athletic Trainer Taxonomy 2255A2300X · Licence AT.004552 (OH)

Record details

NPI number1508142647
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedNovember 2, 2011
Last updated in NPPESJune 8, 2015

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