Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN W DISPOTO, ATC, LAT
ActiveMR. ETHAN W DISPOTO, ATC, LAT is a Athletic Trainer healthcare provider located in WELLS, Maine. NPI 1316823776 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WELLS, ME
Registration Details
- NPI Number
- 1316823776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2025 (0.96533642518712 yrs)
- Last Updated
- Aug 12, 2025
- License
-
AT960 (ME)
Practice Information
- Address
-
200 SANFORD RDWELLS, ME, 040905534Browse ME providers · Browse ZIP 04090
- Phone
- 9736003147
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.