IndividualActive
Ethan Dispoto, ATC, LAT
NPI 1316823776 · Athletic Trainer · Wells, ME
Provider details
- NPI number
- 1316823776
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- License
- AT960 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
200 Sanford Rd
Wells, ME 04090-5534
Phone: (973) 600-3147
Approximate (ZIP-level) locationGet directions
Mailing address
88 Buena Vista Dr
Ringwood, NJ 07456-2028
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.