Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN WILLEY, ATC
ActiveETHAN WILLEY, ATC is a Athletic Trainer healthcare provider located in ERIE, Pennsylvania. NPI 1407370646 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ERIE, PA
Registration Details
- NPI Number
- 1407370646
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2017 (9.0134638188936 yrs)
- Last Updated
- Jul 31, 2017
- License
-
RT006072 (PA)
Practice Information
- Address
-
5103 STATION RDERIE, PA, 165634304Browse PA providers · Browse ZIP 16563
- Phone
- 8148986017
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ERIE, PA
| Name | Credential | NPI |
|---|---|---|
| LISA M LOCKE | ATC | 1669435970 |
| MR. PETER JAMES GRIMALDI | PT ATC | 1245254804 |
| REBECCA L MOKRIS | D.ED., LAT | 1831270776 |
| ERIN MARIE TERRY | M.S., A.T.,C. | 1558442483 |
| MR. SCOTT IAN MCLAY | BS, MBA, LAT, ATC | 1770650095 |
| MRS. KATHLEEN MARIE WILLIAMS | MA, LAT, CSCS | 1922169481 |
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.