KENNETH SHAW ATC, LAT
NPI 1891417580
Specialist/Technologist - Athletic Trainer in Bristol, TN

Q: What is Kenneth Shaw's NPI number?

The NPI number for Kenneth Shaw is 1891417580. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Q: What is Kenneth Shaw'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 Kenneth Shaw was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 19, 2022

1350 KING COLLEGE RD, BRISTOL, TN 37620(800) 362-0014 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth Shaw Atc, Lat NPPES

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

KENNETH SHAW ATC, LAT (NPI 1891417580) is an individual athletic trainer provider in Bristol, Tennessee, licensed in Tennessee (2994) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1891417580

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameKENNETH SHAWCredential: ATC, LAT

Location Address1350 KING COLLEGE RDBristol, TN 37620-2632

Mailing Address362 Grandview StChurch Hill, TN 37642-3828

Phone(800) 362-0014

Sole ProprietorNo

Enumeration DateSeptember 19, 2022

NPPES CertifiedSeptember 16, 2022

✔ NPI 1891417580 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 TN · 2994

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.

1350 KING COLLEGE RD, Bristol, TN 37620

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Other Providers at the Same Location NPPES 5

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

MRS. SHELIA D CROCKETT ATC/L

Specialist/Technologist (Athletic Trainer)