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TYLER SHADE
NPI 1174117212
Specialist/Technologist - Athletic Trainer in Shelby, NC

Active since March 01, 2021
905 LINNEY LN # A, SHELBY, NC 28152(980) 339-0927 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tyler Shade NPPES

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

TYLER SHADE (NPI 1174117212) is an individual athletic trainer provider in Shelby, North Carolina and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174117212
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTYLER SHADE
Location Address905 LINNEY LN # AShelby, NC 28152-6411
Mailing Address905 Linney LnShelby, NC 28152-6411 · (980) 339-0927
Phone(980) 339-0927
Sole ProprietorYes
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1174117212 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
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.
905 LINNEY LN # A, Shelby, NC 28152
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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 Tyler Shade's NPI number?

The NPI number for Tyler Shade is 1174117212. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Tyler Shade located?

Tyler Shade practices at 905 Linney Ln # A, Shelby, NC 28152. The listed phone number is (980) 339-0927.

What is Tyler Shade'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 Tyler Shade was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.