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

Individual provider Athletic Trainer · NPI 1447689765

Michael D Rudisill, LAT, ATC is an Athletic Trainer in Indianapolis, Indiana. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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

8429 Kansa Ct
Indianapolis, IN 46217-5015
Phone: (317) 694-4526
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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 36000021

Record details

NPI number1447689765
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedNovember 7, 2013
Last updated in NPPESNovember 7, 2013

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