IndividualActive
Nathan Shackelford
NPI 1073483103 · Exercise & Sports Psychologist · Hickory, NC
Provider details
- NPI number
- 1073483103
- Entity type
- Individual
- Primary specialty
- Exercise & Sports PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
315 1st Ave Nw Ste 101
Hickory, NC 28601-6169
Registry dates
- Enumerated
- 2025-11-05
- Last updated
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.