Taz Kicklighter, MS, ATC
NPI 1629207964 · Athletic Trainer · Waleska, GA
Taz Kicklighter, MS, ATC is a Athletic Trainer provider in Waleska, GA (NPI 1629207964).
Provider details
- NPI number
- 1629207964
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 628 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-08
- Last updated
- 2009-07-08
Frequently asked questions
- What is Taz Kicklighter's NPI number?
- Taz Kicklighter's National Provider Identifier (NPI) is 1629207964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Taz Kicklighter's specialty?
- Taz Kicklighter is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Taz Kicklighter located?
- Taz Kicklighter's practice location on file with NPPES is 7300 Reinhardt College Cir, Waleska, GA 30183-2981.
- What is Taz Kicklighter's phone number?
- The practice phone number listed in the NPPES registry for Taz Kicklighter is (770) 720-9226.
- Is Taz Kicklighter's NPI active?
- Yes — Taz Kicklighter's NPI (1629207964) is active in the NPPES registry as of the last update on 2009-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.