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

Matthew Willett, ATC

Individual provider Athletic Trainer · NPI 1104226018

Matthew Willett, ATC is an Athletic Trainer in Fort Wayne, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1010 Memorial Way Ste 100
Fort Wayne, IN 46805-1368
Phone: (260) 341-9427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1104 E Grace St, Rensselaer, IN 47978-3211 — (219) 866-6245

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36001778A (IN)

Record details

NPI number1104226018
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 27, 2014
Last updated in NPPESMarch 17, 2018
Mailing address508 Glenfield Dr, Fort Wayne, IN 46825-4083

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