Individual provider · Type 1 NPI

Ethan Gerard Ettel, ATC, LAT

Athletic Trainer · Grand Forks, ND

NPI number 1093614554 Active

Practice location

4440 S Washington St
Grand Forks, ND 58201-7245

Mailing address

1919 University Dr N Apt 225
Fargo, ND 58102-1843

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X1251-26 (ND)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1093614554

Ethan Gerard Ettel, ATC, LAT's National Provider Identifier is 1093614554, issued on Nov 2, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Grand Forks, ND. The record was last updated on Nov 2, 2026.