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MIKAYLA ASHLYN MOORE MAT, ATC
NPI 1669820130
Specialist/Technologist - Athletic Trainer in Tyler, TX

Active since May 25, 2016
14701 COPPER RIDGE BLVD, TYLER, TX 75706(903) 714-3515 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mikayla Ashlyn Moore Mat, Atc NPPES

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

MIKAYLA ASHLYN MOORE MAT, ATC (NPI 1669820130) is an individual athletic trainer provider in Tyler, Texas, licensed in Texas (2000023668) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1669820130
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMIKAYLA ASHLYN MOORECredential: MAT, ATC
Location Address14701 COPPER RIDGE BLVDTyler, TX 75706-3364
Mailing Address14701 Copper Ridge BlvdTyler, TX 75706-3364 · (903) 714-3515
Phone(903) 714-3515
Sole ProprietorYes
Enumeration DateMay 25, 2016
✔ NPI 1669820130 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 · 2000023668
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.
14701 COPPER RIDGE BLVD, Tyler, TX 75706
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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 Mikayla Moore's NPI number?

The NPI number for Mikayla Moore is 1669820130. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Mikayla Moore located?

Mikayla Moore practices at 14701 Copper Ridge Blvd, Tyler, TX 75706. The listed phone number is (903) 714-3515.

What is Mikayla Moore'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 Mikayla Moore was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.