Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETHAN GERARD ETTEL ATC, LAT
NPI 1093614554
Specialist/Technologist - Athletic Trainer in Grand Forks, ND

Q: What is Ethan Ettel's NPI number?

The NPI number for Ethan Ettel is 1093614554. It was assigned to this individual provider in the NPPES registry on November 2, 2026.

Q: What is Ethan Ettel's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Ettel was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2026

4440 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 732-7700 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Ethan Gerard Ettel Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN GERARD ETTEL ATC, LAT (NPI 1093614554) is an individual athletic trainer provider in Grand Forks, North Dakota, licensed in North Dakota (1251-26) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1093614554

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameETHAN GERARD ETTELCredential: ATC, LAT

Location Address4440 S WASHINGTON STGrand Forks, ND 58201-7245

Mailing Address1919 University Dr N Apt 225Fargo, ND 58102-1843 · (320) 429-1321

Phone(701) 732-7700

Sole ProprietorNo

Enumeration DateNovember 2, 2026

NPPES CertifiedNovember 2, 2026

✔ NPI 1093614554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in ND · 1251-26

Definition

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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

4440 S WASHINGTON ST, Grand Forks, ND 58201

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