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

Mr. Matthew Campbell, LAT, ATC, ITAT, CES

Individual provider Athletic Trainer · NPI 1114369626

Mr. Matthew Campbell, LAT, ATC, ITAT, CES is an Athletic Trainer in Fort Wayne, Indiana. Practices as a sole proprietor and works from 4 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2013
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.

See every abbreviation used in this directory →

Practice location Address checks out

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 458-3640
Fax: (260) 479-1819
Show map & directions

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

Additional practice locations (3)

  • 1 University Ave, Angola, IN 46703-1764 — (260) 273-2281
  • 1701 Freeman St, Fort Wayne, IN 46802-4713 — (260) 479-3498
  • 7201 Engle Rd, Fort Wayne, IN 46804-2228 — (260) 432-1800

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36002135A (IN)

Record details

NPI number1114369626
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC , ITAT , CES
Sole proprietorYes
NPI enumeratedJuly 25, 2013
Last updated in NPPESApril 1, 2024
Certification dateSeptember 2, 2022

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