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

Michael Holmes, LAT, ATC

Individual provider Athletic Trainer · NPI 1386095412

Michael Holmes, LAT, ATC is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Colorado, Indiana and Texas. Registered with an NPI since 2016.

Licensed in
CO, IN, TX
In the registry since
2016
Specialties on file
3
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

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (260) 266-4005
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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 36003136A (IN)
Athletic Trainer Taxonomy 2255A2300X · Licence AT6680 (TX)
Athletic Trainer Taxonomy 2255A2300X · Licence AT.0001813 (CO)

Record details

NPI number1386095412
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address1542 Webster St, Wabash, IN 46992-3533

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