P Praxis·MD
● Active Type 1 · Individual

Taz Hunter Kicklighter, MS, ATC

Specialist/Technologist·Waleska, GA· NPI 1629207964 · Enumerated 2009 · 16 years on NPI
Kicklighter is 1 of 7 specialist/technologist providers in Waleska and 1 of 1405 in Georgia.
NPI age
16 years
Enumerated 2009-07-08
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1405 active specialist/technologist providers in Georgia.

NPI age
16 years
↑ 7 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
7300 Reinhardt College Cir
Waleska, GA 301832981
📞 7707209226fax 7707205622
Mailing address
7455 Salmon Ln.
Ooltewah, TN 373635530
📞 7708620494

Specialties

  • Specialist/Technologist Primary
    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,...
    GA license #628 taxonomy 2255A2300X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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