Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Burk

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316616535

Ethan Burk is a Student in an Organized Health Care Education/Training Program in Orono, Maine. Licensed in Maine. Registered with an NPI since 2021.

Licensed in
ME
In the registry since
2021
Specialties on file
3

Practice location Address checks out

Bennett 18 Gym Dr
Orono, ME 04473
Phone: (207) 450-4095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT962 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1316616535
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 16, 2025
Mailing address18 Bower St, Bangor, ME 04401-4722

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