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MRS. JENNA LYNN DECRAENE A.T.C., LAT
NPI 1902860141
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Active since April 14, 2006
7920 W JEFFERSON BLVD, SUITE 100, FORT WAYNE, IN 46804(260) 459-0917 Get Directions Write a Review

NPPES record last updated: August 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jenna Lynn Decraene A.t.c., Lat NPPES

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

MRS. JENNA LYNN DECRAENE A.T.C., LAT (NPI 1902860141) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36001248A) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1902860141
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. JENNA LYNN DECRAENECredential: A.T.C., LAT
Location Address7920 W JEFFERSON BLVD, SUITE 100Fort Wayne, IN 46804-4168
Mailing Address952 Skillet AveHuntertown, IN 46748-0109 · (260) 515-0065
Phone(260) 459-0917
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateAugust 27, 2022
NPPES CertifiedAugust 27, 2022
✔ NPI 1902860141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IN · 36001248A
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.
7920 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 4

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

SUMMIT SURGICAL SUITES, LLC
Clinic/Center (Ambulatory Surgical)
7920 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804
Allen County (260) 434-2022
RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
7920 W JEFFERSON BLVD, SUITE 230
FORT WAYNE, IN 46804
Allen County (260) 432-7600
FORT WAYNE ALLERGY AND ASTHMA CONSULTANTS, INC.
Allergy & Immunology
7920 W JEFFERSON BLVD, SUITE 220
FORT WAYNE, IN 46804
Allen County (260) 436-5670
PETER M ROTHMAN MD
Allergy & Immunology (Allergy)
7920 W JEFFERSON BLVD, SUITE 220
FORT WAYNE, IN 46804
Allen County (260) 436-5670

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 Jenna Decraene's NPI number?

The NPI number for Jenna Decraene is 1902860141. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Jenna Decraene located?

Jenna Decraene practices at 7920 W Jefferson Blvd Suite 100, Fort Wayne, IN 46804. The listed phone number is (260) 459-0917.

What is Jenna Decraene'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 Jenna Decraene was last updated on August 27, 2022. 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.