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

Mr. Ethan Andrew Nayback, AT-C

Individual provider Athletic Trainer · NPI 1164663589

Mr. Ethan Andrew Nayback, AT-C is an Athletic Trainer in Marne, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

3905 Leonard St
Marne, MI 49435-9721
Phone: (616) 558-2715
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (MI)

Record details

NPI number1164663589
Entity typeIndividual (Type 1)
GenderMale
Credentials AT-C
Sole proprietorYes
NPI enumeratedMarch 14, 2009
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022