Individual provider · Type 1 NPI

Ryan L. Fagan, ATC LAT

Athletic Trainer · Converse, IN

NPI number 1114991700 Active

Practice location

7756 W. Delphi Pk., - 27
Converse, IN 46919

Fax (765) 384-5414

Mailing address

312 E Harrison St
Swayzee, IN 46986-9570

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X36000566A (IN)

Athletic Trainer: 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, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

About NPI 1114991700

Ryan L. Fagan, ATC LAT's National Provider Identifier is 1114991700, issued on Feb 13, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Converse, IN. The record was last updated on Jul 13, 2026.