Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Grim, MSAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1043158959

Benjamin Grim, MSAT, LAT, ATC is an Athletic Trainer in Winona Lake, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1 Lancer Way
Winona Lake, IN 46590-0001
Phone: (260) 450-7939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IN)

Record details

NPI number1043158959
Entity typeIndividual (Type 1)
GenderMale
Credentials MSAT , LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address1673 N Vicky Ln, Warsaw, IN 46582-5914

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