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

Mr. Derek Alan Ewald, ATC

Individual provider Athletic Trainer · NPI 1538177696

Mr. Derek Alan Ewald, ATC is an Athletic Trainer in Niles, Michigan. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
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

1960 S 11th St
Niles, MI 49120-4059
Phone: (268) 683-6800
Fax: (269) 683-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IN)

Record details

NPI number1538177696
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007

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