Amanda Louise Traxler, MS, LAT, ATC

Athletic Trainer · Fort Wayne, IN

Individual Active NPI

NPI number 1972874667

Practice location

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone
(260) 266-7400
Fax
(260) 266-4008

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NPI record

NPI
1972874667
Entity type
Individual (Type 1)
Enumeration date
January 26, 2012
Last updated
June 1, 2022
Certified
February 1, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 36001853A IN

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

About Amanda Traxler

Amanda Louise Traxler, MS, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3946 Ice Way, Fort Wayne, IN 46805-1018. The NPI number 1972874667 was assigned on January 26, 2012 and the record was last updated on June 1, 2022.

Amanda Traxler lists a license in the registry: #36001853A (IN) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Louise Traxler, MS, LAT, ATC?

The NPI number is 1972874667.

What is the phone number of Amanda Traxler?

The phone number listed for the practice location is (260) 266-7400.

Where is Amanda Traxler located?

3946 Ice Way, Fort Wayne, IN 46805-1018.

What is the taxonomy code for Amanda Traxler?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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