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

Stephanie Botts, MBA, LAT, ACT

Individual provider Athletic Trainer · NPI 1245691989

Stephanie Botts, MBA, LAT, ACT 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?
MBA — Master of Business Administration
A graduate business degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (331) 262-5587
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36002227A (IN)

Record details

NPI number1245691989
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBA , LAT , ACT
Sole proprietorNo
NPI enumeratedMarch 8, 2016
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

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