SearchIndianaAthletic Trainer

Mikayla Hogan

NPI 1790357440 · on the registry since 2021 · sole proprietor

Practice

Address
2101 E Coliseum Blvd
Fort Wayne, IN 46805
Phone
(260) 481-6656
Organisation at this address
Purdue University
Purdue University
One To One Health
Purdue University
Indiana Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Additional practice sites

  • 100 Campus Dr, Elkins, WV

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Also registered as
Athletic Trainer
Licence states on file
WV, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana