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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ASHLY MARIANA DELEON, MAT, LAT, ATC

Deactivated Sole Proprietor

ASHLY MARIANA DELEON, MAT, LAT, ATC is a Athletic Trainer healthcare provider located in FORT WAYNE, Indiana. NPI 1205582962 is deactivated in the NPPES registry. Verify at CMS.

Athletic Trainer · FORT WAYNE, IN

This NPI has been deactivated. The record was deactivated on June 23, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1205582962
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2022 (1.3315068493151 yrs)
Last Updated
Jul 9, 2024
Deactivated
Jun 23, 2023
Sole Proprietor
Yes

Practice Information

Address
1300 E WASHINGTON CENTER RD
FORT WAYNE, IN, 468254556
Browse IN providers · Browse ZIP 46825
Phone
5743019570
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FORT WAYNE, IN

Name Credential NPI
ANTHONY W GAMBILL A.T.C., CSCS 1588658140
MR. JEREMY R. GALL ATC 1063409332
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
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.