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

Raymond James Wilson, ATC, LAT

Individual provider Athletic Trainer · NPI 1154783082

Raymond James Wilson, ATC, LAT is an Athletic Trainer in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

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.

See every abbreviation used in this directory →

Practice location Address checks out

11130 Parkview Circle Dr
Fort Wayne, IN 46845-1735
Phone: (765) 860-5307
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36002467A (IN)

Record details

NPI number1154783082
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedMarch 21, 2016
Last updated in NPPESMarch 21, 2016

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