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

Mrs. Lisa Ann Tate, ATC

Individual provider Athletic Trainer · NPI 1871841338

Mrs. Lisa Ann Tate, ATC is an Athletic Trainer in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
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

2312 S Dixon Rd Ste 250
Kokomo, IN 46902-6401
Phone: (765) 455-2122
Fax: (765) 455-3122
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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 36000648A (IN)

Record details

NPI number1871841338
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 15, 2012
Last updated in NPPESAugust 15, 2012

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