IndividualActive
Amanda Traxler, MS, LAT, ATC
NPI 1972874667 · Athletic Trainer · Fort Wayne, IN
Provider details
- NPI number
- 1972874667
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 36001853A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (260) 266-7400
Fax: (260) 266-4008
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2012-01-26
- Last updated
- 2022-06-01
- Certified
- 2022-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.