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

Mr. Brian Thomas Raypole, LATATC

Individual provider Athletic Trainer · NPI 1477512564

Mr. Brian Thomas Raypole, LATATC is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46809
Phone: (260) 484-8551
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36001169A (IN)

Record details

NPI number1477512564
Entity typeIndividual (Type 1)
GenderMale
Credentials LATATC
Sole proprietorNo
NPI enumeratedMarch 20, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3609 Bluegrass Ln, Fort Wayne, IN 46815-6455

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