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LEO J CORRAL LAT, ATC
NPI 1205346491
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Active since October 03, 2017
2101 E COLISEUM BLVD, FORT WAYNE, IN 46805(260) 481-6656 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leo J Corral Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEO J CORRAL LAT, ATC (NPI 1205346491) is an individual athletic trainer provider in Fort Wayne, Indiana and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1205346491
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameLEO J CORRALCredential: LAT, ATC
Location Address2101 E COLISEUM BLVDFort Wayne, IN 46805-1445
Mailing Address4434 Cameron AveHammond, IN 46327-1359 · (708) 299-2795
Phone(260) 481-6656
Sole ProprietorNo
Enumeration DateOctober 3, 2017
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1205346491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2101 E COLISEUM BLVD, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATNAEL SOLOMON
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (702) 969-2889
MINDY JOY YODER N.P.
Nurse Practitioner
2101 E COLISEUM BLVD, WALB 234
FORT WAYNE, IN 46805
Allen County (260) 481-5748
ANJALI NATARAJAN MD
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
NATHAN ALBRIGHT
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
TYLER MINNICH
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
PURDUE UNIVERSITY
Nurse Practitioner (Gerontology)
2101 E COLISEUM BLVD, WU 234
FORT WAYNE, IN 46805
Allen County (260) 481-0400
TYRA KARMELLE GRISCHKE
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
ALEXANDER BUCHANAN
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leo Corral's NPI number?

The NPI number for Leo Corral is 1205346491. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Leo Corral located?

Leo Corral practices at 2101 E Coliseum Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-6656.

What is Leo Corral's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Leo Corral was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.