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

Ethan Wilson

Individual provider Athletic Trainer · NPI 1174404214

Ethan Wilson is an Athletic Trainer in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2025.

Licensed in
KY
In the registry since
2025

Practice location Address checks out

901 S 4th St
Louisville, KY 40203-2188
Phone: (502) 585-9911
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (KY)

Record details

NPI number1174404214
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

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