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

Individual provider Athletic Trainer · NPI 1336780584

Ethan Thomas Chavez, ATC is an Athletic Trainer in Kansas City, Kansas. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2019
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

7250 State Ave
Kansas City, KS 66112-3003
Phone: (913) 288-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2407 N Frankford Ave, Lubbock, TX 79416-9643 — (806) 283-8100

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 328474 (LA)

Record details

NPI number1336780584
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedSeptember 30, 2019
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address2407 N Frankford Ave, Lubbock, TX 79416-9643

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