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

Matthew Wardell, LAT, ATC

Individual provider Athletic Trainer · NPI 1063342319

Matthew Wardell, LAT, ATC is an Athletic Trainer in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026
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

1400 E Hanna Ave
Indianapolis, IN 46227-3630
Phone: (317) 488-0743
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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 36003941A (IN)

Record details

NPI number1063342319
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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