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

Mr. Edward Lee Chisholm, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1861519258

Mr. Edward Lee Chisholm, MS, LAT, ATC is an Athletic Trainer in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

4200 Country Day Ln
Fort Worth, TX 76109-4201
Phone: (817) 302-3200
Fax: (817) 302-3279
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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 AT0929 (TX)

Record details

NPI number1861519258
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESJuly 8, 2007

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