Individual provider · Type 1 NPI

Michael Holmes, LAT, ATC

Athletic Trainer · Fort Wayne, IN

NPI number 1386095412 Active

Practice location

3946 Ice Way
Fort Wayne, IN 46805-1018

Mailing address

1542 Webster St
Wabash, IN 46992-3533

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT6680 (TX)
Athletic Trainer 2255A2300XAT.0001813 (CO)
Athletic Trainer Primary 2255A2300X36003136A (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…

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About NPI 1386095412

Michael Holmes, LAT, ATC's National Provider Identifier is 1386095412, issued on Jun 30, 2016. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 24, 2025.