NPI 1013425529

Zachary David Brown, ATC

Practitioner Athletic Trainer Fort Wayne, IN

Practice location

Address: 3946 Ice Way, Fort Wayne, IN 46805-1018
Phone: (636) 290-1136
Mailing address: 2907 Canterbury Blvd APT 5, Fort Wayne, IN 46835-3238

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Indiana →

Registry record

NPI: 1013425529
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2018
Record last updated: 18 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.