ETHAN B NATZKE
NPI 1861137713
Specialist/Technologist - Athletic Trainer in Mequon, WI

Active since May 04, 2022
12800 N LAKE SHORE DR, MEQUON, WI 53097(314) 566-1596 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan B Natzke NPPES

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

ETHAN B NATZKE (NPI 1861137713) is an individual athletic trainer provider in Mequon, Wisconsin and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1861137713
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameETHAN B NATZKE
Location Address12800 N LAKE SHORE DRMequon, WI 53097-2418
Mailing Address12800 N Lake Shore DrMequon, WI 53097-2418 · (314) 566-1596
Sole ProprietorYes
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
NPI 1861137713 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.

12800 N LAKE SHORE DR, Mequon, WI 53097

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
12800 N LAKE SHORE DR
MEQUON, WI 53097
Specialist/Technologist (Athletic Trainer)
12800 N LAKE SHORE DR
MEQUON, WI 53097
Nurse Practitioner (Family)
12800 N LAKE SHORE DR
MEQUON, WI 53097
Pharmacist
12800 N LAKE SHORE DR
MEQUON, WI 53097
Physical Therapist
12800 N LAKE SHORE DR
MEQUON, WI 53097
Nurse Practitioner (Family)
12800 N LAKE SHORE DR, STUDENT HEALTH CENTER
MEQUON, WI 53097
Specialist/Technologist (Athletic Trainer)
12800 N LAKE SHORE DR
MEQUON, WI 53097
Specialist/Technologist (Athletic Trainer)
12800 N LAKE SHORE DR
MEQUON, WI 53097

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861137713, enumerated as an "individual" on May 04, 2022.

The provider is located at 12800 N LAKE SHORE DR MEQUON, WI 53097 and the phone number is (314) 566-1596.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.