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MR. ETHAN ANDREW NAYBACK AT-C
NPI 1164663589
Specialist/Technologist - Athletic Trainer in Marne, MI

Active since March 14, 2009
3905 LEONARD ST, MARNE, MI 49435(616) 558-2715 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ethan Andrew Nayback At-c NPPES

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

MR. ETHAN ANDREW NAYBACK AT-C (NPI 1164663589) is an individual athletic trainer provider in Marne, Michigan and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1164663589
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. ETHAN ANDREW NAYBACKCredential: AT-C
Location Address3905 LEONARD STMarne, MI 49435-9721
Mailing Address3905 Leonard StMarne, MI 49435-9721 · (616) 558-2715
Phone(616) 558-2715
Sole ProprietorYes
Enumeration DateMarch 14, 2009
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1164663589 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
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.
3905 LEONARD ST, Marne, MI 49435
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Nayback's NPI number?

The NPI number for Ethan Nayback is 1164663589. It was assigned to this individual provider in the NPPES registry on March 14, 2009.

Where is Ethan Nayback located?

Ethan Nayback practices at 3905 Leonard St, Marne, MI 49435. The listed phone number is (616) 558-2715.

What is Ethan Nayback's specialty?

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

When was this NPI record last updated?

The NPPES record for Ethan Nayback was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.