Susan Laughbaum, ATC, LAT, CSCS
Individual provider Active NPI Athletic Trainer · Wadesville, IN
NPI 1740247667 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1740247667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36000190 (IN)
- Practice address
- 10800 Winery Rd
Wadesville, IN 47638-9540 - Phone
- (812) 963-0948
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36000190 | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36000190 | IN | Yes |
Addresses
Primary practice location
10800 Winery Rd
Wadesville, IN 47638-9540
Mailing address
10800 Winery Rd
Wadesville, IN 47638-9540
Other providers in Wadesville, IN
- Ackerman Chiropractic & Fitness Center, LLC
- Dwayne Allen Ackerman
- Kristina Anne Bryant
- Kathryn Karges
- Christopher Thomas Metz
- Spencer Lee Shannon
- Tri-State Rehab & Welness Center, LLC
- Wadesville Fire Dept
All providers in Wadesville, IN · Athletic Trainer in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.