DETRAVES NEVILLE THICKLIN ATC
NPI 1184167686
Specialist/Technologist - Athletic Trainer in Soddy Daisy, TN

Q: What is Detraves Thicklin's NPI number?

The NPI number for Detraves Thicklin is 1184167686. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Q: What is Detraves Thicklin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Detraves Thicklin was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 01, 2016

210 WALMART DR, STE 100, SODDY DAISY, TN 37379(423) 332-9490(423) 332-3817 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Detraves Neville Thicklin Atc NPPES

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

DETRAVES NEVILLE THICKLIN ATC (NPI 1184167686) is an individual athletic trainer provider in Soddy Daisy, Tennessee and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1184167686

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameDETRAVES NEVILLE THICKLINCredential: ATC

Location Address210 WALMART DR, STE 100Soddy Daisy, TN 37379-5022

Mailing Address8823 Production LnOoltewah, TN 37363-6511 · (423) 238-7217 · Fax (423) 362-8684

Phone(423) 332-9490

Fax(423) 332-3817

Sole ProprietorNo

Enumeration DateDecember 1, 2016

✔ NPI 1184167686 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.

210 WALMART DR, Soddy Daisy, TN 37379

Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

ABBEY ROE ELVERD APRN

Nurse Practitioner (Family)

210 WALMART DR
SODDY DAISY, TN 37379

Hamilton County (423) 332-6155

WILLIAM DAVID VAN EATON PT

Physical Therapist

210 WALMART DR, SUITE 100
SODDY DAISY, TN 37379

Hamilton County (423) 332-9490

ASHLEY VANLANDINGHAM PLATZER PA-C

Physician Assistant

210 WALMART DR
SODDY DAISY, TN 37379

Hamilton County (423) 332-6155

MRS. AMY KATHERINE FARLETT FNPC

Nurse Practitioner (Family)

210 WALMART DR
SODDY DAISY, TN 37379

Hamilton County (423) 332-6155

KATHLEEN NICOLE PEREZ ATC

Specialist/Technologist (Athletic Trainer)

210 WALMART DR, STE 100
SODDY DAISY, TN 37379

Hamilton County (423) 332-9490

RYAN MATTHEW BELLOMY AGACNP, FNP

Nurse Practitioner (Family)

210 WALMART DR
SODDY DAISY, TN 37379

Hamilton County (423) 332-6155

ALEX OLEG RONIN ANP

Nurse Practitioner (Family)

210 WALMART DR
SODDY DAISY, TN 37379

Hamilton County (423) 332-6155

KARIN C. DOWNS PT

Physical Therapist

210 WALMART DR, SUITE 100
SODDY DAISY, TN 37379

Hamilton County (423) 332-9490

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 Detraves Thicklin's NPI number?

The NPI number for Detraves Thicklin is 1184167686. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Detraves Thicklin located?

Detraves Thicklin practices at 210 Walmart Dr Ste 100, Soddy Daisy, TN 37379. The listed phone number is (423) 332-9490.

What is Detraves Thicklin'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 Detraves Thicklin was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.