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

Mr. Ethan Roberts, ATC

Individual provider Athletic Trainer · NPI 1447666037

Mr. Ethan Roberts, ATC is an Athletic Trainer in North Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
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

1916 Haughton Ave Apt 1
North Mankato, MN 56003-1440
Phone: (507) 995-7937
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence D834044851615 (MN)

Record details

NPI number1447666037
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 3, 2014
Last updated in NPPESJuly 3, 2014
Mailing address1916 Haughton Ave Apt 1, North Mankato, MN 56003-1440

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