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

Julie Lies, MPM, LAT, ATC

Individual provider Athletic Trainer · NPI 1902266802

Julie Lies, MPM, LAT, ATC is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
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.

See every abbreviation used in this directory →

Practice location Address checks out

2303 Meadowsweet Ct
Fort Wayne, IN 46808-1694
Phone: (260) 413-0428
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36001984A (IN)

Record details

NPI number1902266802
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPM , LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 4, 2016
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

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