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

Individual provider Athletic Trainer · NPI 1902274046

Kerri Grothaus, MS, LAT, ATC is an Athletic Trainer in Fort Wayne, Indiana. Works from 3 locations. Licensed in Indiana and Ohio.

Licensed in
IN, OH
In the registry since
2015
Specialties on file
2
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.

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Practice location Address checks out

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (419) 979-2129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 University Ave, Angola, IN 46703-1764 — (260) 665-4846
  • 21522 Lehman Rd, Delphos, OH 45833-8848 — (419) 979-2129

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36002808A (IN)
Athletic Trainer Taxonomy 2255A2300X · Licence AT005479 (OH)

Record details

NPI number1902274046
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedSeptember 7, 2015
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

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