Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY R. GALL, ATC
ActiveMR. JEREMY R. GALL, ATC is a Athletic Trainer healthcare provider located in FORT WAYNE, Indiana. NPI 1063409332 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FORT WAYNE, IN
Registration Details
- NPI Number
- 1063409332
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2005 (20.821640376515 yrs)
- Last Updated
- Jun 16, 2018
- Licenses
-
36001023A (IN)36001023A (IN)
Practice Information
- Address
-
7601 W JEFFERSON BLVDFORT WAYNE, IN, 468044133Browse IN providers · Browse ZIP 46804
- Phone
- 2604352620
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| ANTHONY W GAMBILL | A.T.C., CSCS | 1588658140 |
| MRS. JENNIFER JEAN BEER | MA, LAT, ATC | 1003880618 |
| MR. JEFFREY ALLEN BEER | MA, LAT, ATC, CEAS | 1285608877 |
| EMILY ANN TUMBLESON | LAT, ATC | 1730157546 |
| KEVIN MARK WATSON | ATC/L | 1992773972 |
| MR. KILEY ANDREW KNOBLAUCH | LAT, ATC | 1356319834 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.