DEYONTA TOLLIVER LAT, ATC
NPI 1033619325
Specialist/Technologist - Athletic Trainer in Saint Louis, MO

Active since February 14, 2018
11628 OLD BALLAS RD, SAINT LOUIS, MO 63141(314) 596-2656 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deyonta Tolliver Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEYONTA TOLLIVER LAT, ATC (NPI 1033619325) is an individual athletic trainer provider in Saint Louis, Missouri, licensed in Missouri (2017031424) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1033619325
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameDEYONTA TOLLIVERCredential: LAT, ATC
Location Address11628 OLD BALLAS RDSaint Louis, MO 63141-7030
Mailing Address2519 Hardwood DrBryan, TX 77803-0258
Sole ProprietorNo
Enumeration DateFebruary 14, 2018
NPI 1033619325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in MO · 2017031424
Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

11628 OLD BALLAS RD, Saint Louis, MO 63141

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
11628 OLD BALLAS RD
SAINT LOUIS, MO 63141
Specialist/Technologist (Athletic Trainer)
11628 OLD BALLAS RD
SAINT LOUIS, MO 63141
Occupational Therapist (Ergonomics)
11628 OLD BALLAS RD
SAINT LOUIS, MO 63141
Counselor (Professional)
11628 OLD BALLAS RD
CREVE COEUR, MO 63141
Internal Medicine (Geriatric Medicine)
11628 OLD BALLAS RD, SUITE 212
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Neurology)
11628 OLD BALLAS RD, STE 106
SAINT LOUIS, MO 63141
Physical Therapy Assistant
11628 OLD BALLAS RD
SAINT LOUIS, MO 63141
Physical Therapist (Orthopedic)
11628 OLD BALLAS RD
SAINT LOUIS, MO 63141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deyonta Tolliver's NPI number?

The NPI number for Deyonta Tolliver is 1033619325. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Deyonta Tolliver located?

Deyonta Tolliver practices at 11628 Old Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 596-2656.

What is Deyonta Tolliver's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Deyonta Tolliver was last updated on February 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.