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

Tyler Shade

Individual provider Athletic Trainer · NPI 1174117212

Tyler Shade is an Athletic Trainer in Shelby, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

905 Linney Ln # A
Shelby, NC 28152-6411
Phone: (980) 339-0927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1174117212
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2021
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021
Mailing address905 Linney Ln, Shelby, NC 28152-6411

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