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

Mr. Lukas Micheal Passalacqua, MSAT, ATC

Individual provider Athletic Trainer · NPI 1104314046

Mr. Lukas Micheal Passalacqua, MSAT, ATC is an Athletic Trainer in West Lafayette, Indiana. Works from 2 locations. Licensed in Arizona and Indiana.

Licensed in
AZ, IN
In the registry since
2018
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

900 N John R Wooden Dr
West Lafayette, IN 47907
Phone: (765) 494-3245
Fax: (765) 494-9899
Show map & directions

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

Additional practice locations (1)

  • 900 N John R Wooden Dr, West Lafayette, IN 47907 — (765) 494-3245

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36003098A (IN)
Athletic Trainer Taxonomy 2255A2300X · Licence 1631 (AZ)

Record details

NPI number1104314046
Entity typeIndividual (Type 1)
GenderMale
Credentials MSAT , ATC
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESNovember 26, 2019

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