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

ROBIN BERGHOFF, LAT, ATC, PTA

Active Sole Proprietor

ROBIN BERGHOFF, LAT, ATC, PTA is a Athletic Trainer healthcare provider located in FORT WAYNE, Indiana. NPI 1861151698 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FORT WAYNE, IN

Registration Details

NPI Number
1861151698
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2021 (4.6560147839457 yrs)
Last Updated
Nov 29, 2023
Licenses
06005446A (IN)
36003783A (IN)
Sole Proprietor
Yes

Practice Information

Address
3946 ICE WAY
FORT WAYNE, IN, 468051018
Browse IN providers · Browse ZIP 46805
Phone
2606108145
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
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.