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

Mr. Ryan L Fagan, ATCLAT

Individual provider Athletic Trainer · NPI 1114991700

Mr. Ryan L Fagan, ATCLAT is an Athletic Trainer in Converse, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

7756 W Delphi Pk - 27
Converse, IN 46919
Phone: (765) 384-4381
Fax: (765) 384-5414
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36000566A (IN)

Record details

NPI number1114991700
Entity typeIndividual (Type 1)
GenderMale
Credentials ATCLAT
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJuly 13, 2026