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

Individual provider Athletic Trainer · NPI 1003473562

Evan Griskowitz, MS, ATC, LAT is an Athletic Trainer in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2019.

Licensed in
KY
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3802 Lady Di Ln
Lexington, KY 40517-1021
Phone: (302) 540-6145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT1455 (KY)

Record details

NPI number1003473562
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESMay 21, 2019
Mailing address3802 Lady Di Ln, Lexington, KY 40517-1021

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