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

Holly Mae Hartley, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1366901399

Holly Mae Hartley, MS, LAT, ATC is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2019.

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

See every abbreviation used in this directory →

Practice location Address checks out

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (785) 806-5556
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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 36004121A (IN)

Record details

NPI number1366901399
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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