BRYAN BLACK MAT, LAT, ATC, CKTP
NPI 1407358377
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About BRYAN BLACK
This page provides the complete NPI Profile along with additional information for Bryan Black, a provider established in Fort Wayne, Indiana with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1407358377 assigned on March 2018. The practitioner's primary taxonomy code is 2255A2300X with license number 36002703A (IN). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1407358377 Verify this NPI
- Provider Name
- BRYAN BLACK MAT, LAT, ATC, CKTP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3946 ICE WAY FORT WAYNE FORT WAYNE, IN 46808
- Location Phone
- (517) 425-4996
- Mailing Address
- 3946 ICE WAY FORT WAYNE FORT WAYNE, IN 46808
- Mailing Phone
- (517) 425-4996
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-06-2018
- Last Update Date
- 03-06-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 36002703A
- License State
- IN
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407358377, enumerated as an "individual" on March 06, 2018.
The provider is located at 3946 ICE WAY FORT WAYNE FORT WAYNE, IN 46808 and the phone number is (517) 425-4996.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
