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

Individual provider Athletic Trainer · NPI 1285284158

Keisuke Kawata, PHD, ATC is an Athletic Trainer in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1025 E 7th St # C215
Bloomington, IN 47405-7109
Phone: (812) 855-5244
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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 36002932A (IN)

Record details

NPI number1285284158
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , ATC
Sole proprietorYes
NPI enumeratedSeptember 12, 2019
Last updated in NPPESSeptember 12, 2019
Mailing address1025 E 7th St # C215, Bloomington, IN 47405-7109

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