Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth Hackman, MA, ATC, LAT

Individual provider Athletic Trainer · NPI 1033520614

Mr. Kenneth Hackman, MA, ATC, LAT is an Athletic Trainer in Upland, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

236 W Reade Ave
Upland, IN 46989-1001
Phone: (765) 998-4780
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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 36000839A (IN)

Record details

NPI number1033520614
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC , LAT
Sole proprietorYes
NPI enumeratedMay 16, 2014
Last updated in NPPESMay 16, 2014

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