IndividualActive
Adam Gibson, ATC
NPI 1447753140 · Athletic Trainer · Fort Wayne, IN
Provider details
- NPI number
- 1447753140
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36002944A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (765) 206-1042
Approximate (ZIP-level) locationGet directions
Mailing address
8500 S 100 W
Fairmount, IN 46928-9228
Registry dates
- Enumerated
- 2018-03-09
- Last updated
- 2018-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.