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

Individual provider Athletic Trainer · NPI 1073088639

Michael Witmer, MAT, LAT, ATC, CPT is an Athletic Trainer in Tucker, Georgia. Registered with an NPI since 2018.

In the registry since
2018
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

3928 Woodridge Way
Tucker, GA 30084-2155
Phone: (937) 657-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1073088639
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT , LAT , ATC , CPT
Sole proprietorNo
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 10, 2018

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