Individual provider · Type 1 NPI

Ethan Tanner Austell, MS, ATC, LAT, CES

Athletic Trainer · St. Petersburg, FL

NPI number 1700678778 Active

Practice location

850 34th St S
St. Petersburg, FL 33711-2297

Call (904) 607-1418 Map

Mailing address

6815 Foxtail Palm Way Apt 109
Bradenton, FL 34210-7032

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X7775 (FL)

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 1700678778

Ethan Tanner Austell, MS, ATC, LAT, CES's National Provider Identifier is 1700678778, issued on May 19, 2025. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 1, 2026.