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

Emily Jeane Mize

Individual provider Athletic Trainer · NPI 1710658869

Emily Jeane Mize is an Athletic Trainer in Fort Wayne, Indiana. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (260) 444-2788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3425 E 1100 N, North Manchester, IN 46962-8938 — (260) 306-1005

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1710658869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESMay 28, 2022
Certification dateMay 28, 2022
Mailing address3946 Ice Way, Fort Wayne, IN 46805-1018

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