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

Vidal Luis Mora, LAT, ATC

Individual provider Athletic Trainer · NPI 1841643780

Vidal Luis Mora, LAT, ATC is an Athletic Trainer in Lake Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
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

7140 Welsh Dr
Lake Saint Louis, MO 63367-4870
Phone: (636) 288-1928
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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 2015023352 (MO)

Record details

NPI number1841643780
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJuly 15, 2016
Last updated in NPPESJuly 15, 2016