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

Ethan Skinner, ATC

Individual provider Athletic Trainer · NPI 1104271949

Ethan Skinner, ATC is an Athletic Trainer in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4110 Spruce St Apt 2
Philadelphia, PA 19104-4077
Phone: (703) 798-5687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (PA)

Record details

NPI number1104271949
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 29, 2016
Last updated in NPPESMay 10, 2018

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