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

Ethan Tanner Austell, MS, ATC, LAT, CES

Individual provider Athletic Trainer · NPI 1700678778

Ethan Tanner Austell, MS, ATC, LAT, CES is an Athletic Trainer in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

850 34th St S
St Petersburg, FL 33711-2297
Phone: (904) 607-1418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 7775 (FL)

Record details

NPI number1700678778
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT , CES
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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