Individual provider · Type 1 NPI

Brian Thomas Raypole, LAT ATC

Athletic Trainer · Fort Wayne, IN

NPI number 1477512564 Active

Practice location

5050 N. Clinton Street
Fort Wayne, IN 46809

Mailing address

3609 Bluegrass Ln
Fort Wayne, IN 46815-6455

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X36001169A (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 1477512564

Brian Thomas Raypole, LAT ATC's National Provider Identifier is 1477512564, issued on Mar 20, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 13, 2026.