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

Mikayla Lynn Hogan

Individual provider Athletic Trainer · NPI 1790357440

Mikayla Lynn Hogan is an Athletic Trainer in Fort Wayne, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana and West Virginia.

Licensed in
IN, WV
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2101 E Coliseum Blvd
Fort Wayne, IN 46805-1445
Phone: (260) 481-6656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Campus Dr, Elkins, WV 26241-3971 — (304) 637-1900

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36003722A (IN)
Athletic Trainer Taxonomy 2255A2300X (WV)

Record details

NPI number1790357440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

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