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

MS. Amberly Michele Mallon, MED, LAT, ATC

Individual provider Athletic Trainer · NPI 1598191918

MS. Amberly Michele Mallon, MED, LAT, ATC is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (260) 266-4007
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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 36002180A (IN)

Record details

NPI number1598191918
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LAT , ATC
Sole proprietorNo
NPI enumeratedSeptember 17, 2013
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

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