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MACKENZIE DANIELLE WILDER LAT, ATC
NPI 1467277996
Specialist/Technologist - Athletic Trainer in Athens, TX

Active since November 19, 2024
708 E COLLEGE ST, ATHENS, TX 75751(843) 476-0637 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About Mackenzie Danielle Wilder Lat, Atc NPPES

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

MACKENZIE DANIELLE WILDER LAT, ATC (NPI 1467277996) is an individual athletic trainer provider in Athens, Texas, licensed in Texas (AT10184) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1467277996
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMACKENZIE DANIELLE WILDERCredential: LAT, ATC
Location Address708 E COLLEGE STAthens, TX 75751-2619
Mailing Address171 Private Road 5869Yantis, TX 75497 · (843) 476-0637
Phone(843) 476-0637
Sole ProprietorNo
Enumeration DateNovember 19, 2024
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1467277996 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 TX · AT10184
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.
708 E COLLEGE ST, Athens, TX 75751
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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 Mackenzie Wilder's NPI number?

The NPI number for Mackenzie Wilder is 1467277996. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Mackenzie Wilder located?

Mackenzie Wilder practices at 708 E College St, Athens, TX 75751. The listed phone number is (843) 476-0637.

What is Mackenzie Wilder'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 Mackenzie Wilder was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.