Nathan C. Maynard, MS, LAT, ATC

Athletic Trainer · Fort Campbell, KY

Individual Active NPI

NPI number 1346695533

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone
(573) 233-5911

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NPI record

NPI
1346695533
Entity type
Individual (Type 1)
Enumeration date
April 26, 2016
Last updated
October 8, 2025
Certified
October 8, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT2259 KY
Athletic Trainer 2255A2300X 3295 TN
Athletic Trainer 2255A2300X 2019020157 MO

Mailing address

517 Eysian Rd
Clarksville, TN 37040-6581

About Nathan Maynard

Nathan C. Maynard, MS, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 650 Joel Dr, Fort Campbell, KY 42223-5318. The NPI number 1346695533 was assigned on April 26, 2016 and the record was last updated on October 8, 2025.

Nathan Maynard lists 3 licenses in the registry: #AT2259 (KY) for Athletic Trainer; #3295 (TN) for Athletic Trainer; #2019020157 (MO) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nathan C. Maynard, MS, LAT, ATC?

The NPI number is 1346695533.

What is the phone number of Nathan Maynard?

The phone number listed for the practice location is (573) 233-5911.

Where is Nathan Maynard located?

650 Joel Dr, Fort Campbell, KY 42223-5318.

What is the taxonomy code for Nathan Maynard?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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