IndividualActive
Ethan Campbell, A.T.C., L.A.T
NPI 1164615845 · Athletic Trainer · Keller, TX
Provider details
- NPI number
- 1164615845
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- A.T.C., L.A.T
- Sex
- Male
- Sole proprietor
- No
- License
- AT2055 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
601 Pate Orr Rd N
Keller, TX 76248-4209
Phone: (817) 744-1465
Fax: (817) 744-1503
Street-level locationGet directions
Mailing address
601 Pate Orr Rd N
Keller, TX 76248-4209
Registry dates
- Enumerated
- 2007-08-25
- Last updated
- 2007-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.