ETHAN LIBBY
NPI 1861363814
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since September 15, 2025
3640 COLONEL GLENN HWY, DAYTON, OH 45435(937) 775-4444 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Libby NPPES

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

ETHAN LIBBY (NPI 1861363814) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1861363814
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN LIBBY
Location Address3640 COLONEL GLENN HWYDayton, OH 45435-0002
Mailing Address3640 Colonel Glenn HwyDayton, OH 45435-0002
Sole ProprietorYes
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 14, 2025
NPI 1861363814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3640 COLONEL GLENN HWY, Dayton, OH 45435

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.

Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Homemaker
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Orthopaedic Surgery (Sports Medicine)
3640 COLONEL GLENN HWY
DAYTON, OH 45435

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 Libby's NPI number?

The NPI number for Ethan Libby is 1861363814. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Ethan Libby located?

Ethan Libby practices at 3640 Colonel Glenn Hwy, Dayton, OH 45435. The listed phone number is (937) 775-4444.

What is Ethan Libby's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Libby was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.