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

Mr. Aubry Blanchard Fisk Jr., LAT, ATC

Individual provider Athletic Trainer · NPI 1073587762

Mr. Aubry Blanchard Fisk Jr., LAT, ATC is an Athletic Trainer in Grapevine, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
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

2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone: (817) 481-2121
Fax: (817) 488-4493
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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 AT0160 (TX)

Record details

NPI number1073587762
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJanuary 21, 2016

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