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

Individual provider Athletic Trainer · NPI 1962862094

Quinn Wiley, MPM, ATC, LAT is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
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

11130 Parkview Circle Dr
Fort Wayne, IN 46845-1735
Phone: (260) 578-0685
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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 36002122A (IN)

Record details

NPI number1962862094
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPM , ATC , LAT
Sole proprietorNo
NPI enumeratedMarch 2, 2016
Last updated in NPPESMarch 2, 2016

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