HEATHER NICOLE RACINE LAT, ATC
NPI 1942702964
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Active since March 06, 2018
3946 ICE WAY, FORT WAYNE, IN 46805(812) 319-2519 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Mar 6, 2018 (2 updates tracked since 2018).

About Heather Nicole Racine Lat, Atc NPPES

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

HEATHER NICOLE RACINE LAT, ATC (NPI 1942702964) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36002852A) and active in the NPI registry since March 2018. She maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1942702964
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameHEATHER NICOLE RACINECredential: LAT, ATC
Location Address3946 ICE WAYFort Wayne, IN 46805-1018
Mailing Address3946 Ice WayFort Wayne, IN 46805-1018
Sole ProprietorNo
Enumeration DateMarch 6, 2018
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1942702964 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 · 36002852A
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.

3946 ICE WAY, Fort Wayne, IN 46805

Secondary Practice Location 1

Location 11600 E Washington BlvdFort Wayne, IN 46803-1228 · Phone (812) 319-2519

Other Providers at the Same Location NPPES 20

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

Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Dietitian, Registered
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942702964, enumerated as an "individual" on March 06, 2018.

The provider is located at 3946 ICE WAY FORT WAYNE, IN 46805 and the phone number is (812) 319-2519.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.