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

Leo J Corral, LAT, ATC

Individual provider Athletic Trainer · NPI 1205346491

Leo J Corral, LAT, ATC is an Athletic Trainer in Fort Wayne, Indiana. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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.

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Practice location Address checks out

2101 E Coliseum Blvd
Fort Wayne, IN 46805-1445
Phone: (260) 481-6656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1205346491
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedOctober 3, 2017
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

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