Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN ROBERTS, ATC
ActiveMR. ETHAN ROBERTS, ATC is a Athletic Trainer healthcare provider located in NORTH MANKATO, Minnesota. NPI 1447666037 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NORTH MANKATO, MN
Registration Details
- NPI Number
- 1447666037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2014 (12.090263671751 yrs)
- Last Updated
- Jul 3, 2014
- License
-
D834044851615 (MN)
Practice Information
- Address
-
1916 HAUGHTON AVE APT 1NORTH MANKATO, MN, 560031440Browse MN providers · Browse ZIP 56003
- Phone
- 5079957937
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NORTH MANKATO, MN
| Name | Credential | NPI |
|---|---|---|
| MS. BETH ANN BUSHIE | ATC | 1538216650 |
| AMANDA KRUSE | MBA, LAT | 1447631767 |
| MISS MIKAELA JEAN SELLNER | — | 1750962007 |
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.