Individual provider · Type 1 NPI

Stacy Ellen Lake, ATC

Athletic Trainer · Fort Wayne, IN

NPI number 1912274663 Active

Practice location

14730 Pulver Rd
Fort Wayne, IN 46845-9629

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X36000573A (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 1912274663

Stacy Ellen Lake, ATC's National Provider Identifier is 1912274663, issued on Nov 23, 2011. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 23, 2011.