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

John Michael Velasquez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174234462

John Michael Velasquez is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (260) 266-4007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3946 Ice Way, Fort Wayne, IN 46805-1018 — (260) 266-4007
  • 1611 N Broadview Dr, Marion, IN 46952-1348 — (765) 661-6132

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174234462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 8, 2022
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address3946 Ice Way, Fort Wayne, IN 46805-1018

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