Individual
ETHAN VANCE ISAACSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TRESSEL WAY, YOUNGSTOWN, OH 44555-9703
(330) 941-3000
Mailing address
10500 CARROUSEL WOODS DR, NEW MIDDLETOWN, OH 44442-7735
(330) 885-4743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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