Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Detraves Neville Thicklin, ATC

Athletic Trainer in Soddy Daisy, TN · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184167686

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Registry record

Entity type Individual (Type 1)

Name Detraves Neville Thicklin

Credential ATC

Sex Male

Practice address 210 Walmart Dr, Ste 100, Soddy Daisy, TN, 37379

Phone (423) 332-9490

Fax (423) 332-3817

Enumeration date Dec 1, 2016

Last updated in NPPES Dec 1, 2016

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Detraves Thicklin?

Detraves Thicklin is registered in NPPES with the primary taxonomy of Athletic Trainer. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-01.