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

Mr. Ethan M Kreiswirth, MA, ATC

Individual provider Specialist · NPI 1336249978

Mr. Ethan M Kreiswirth, MA, ATC is a Specialist in Carson, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

Cal State Dominguez Hls 1000 E Victoria St
Carson, CA 90747-0001
Phone: (310) 243-3894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1336249978
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESJuly 8, 2007

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