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

Mr. Paul Edward Widner, ATC, LAT

Individual provider Athletic Trainer · NPI 1407178577

Mr. Paul Edward Widner, ATC, LAT is an Athletic Trainer in Nappanee, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2010
What do these letters mean?
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

2101 N Main St
Nappanee, IN 46550-9310
Phone: (574) 773-4127
Fax: (574) 773-4099
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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 36000256A (IN)

Record details

NPI number1407178577
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedFebruary 17, 2010
Last updated in NPPESFebruary 17, 2010

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