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

Mr. Ethan W Dispoto, ATC, LAT

Individual provider Athletic Trainer · NPI 1316823776

Mr. Ethan W Dispoto, ATC, LAT is an Athletic Trainer in Wells, Maine. Licensed in Maine. Registered with an NPI since 2025.

Licensed in
ME
In the registry since
2025
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

200 Sanford Rd
Wells, ME 04090-5534
Phone: (973) 600-3147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT960 (ME)

Record details

NPI number1316823776
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025