NPI 1225091705

Krista R Bennett, LATATC

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Fort Wayne, IN

Practice location

Address: 5050 N Clinton St, Fort Wayne, IN 46825-5822
Phone: (260) 484-8551
Fax: (260) 484-3351
Mailing address: 726 Sunturn Dr, Fort Wayne, IN 46825-2295

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 36000834A (IN)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Indiana →

Registry record

NPI: 1225091705
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2006
Record last updated: 13 Jul 2026

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.