Ethan James, MAT, ATC
NPI #1134667900 in Evansville, Indiana
Provider Information
- NPI Number
- 1134667900
- Entity Type
- Individual
- Name
- Ethan James, MAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prevention Professional
- Credential
- MAT, ATC
- Enumeration Date
- Feb 1, 2017
- Last Updated
- Feb 1, 2017
Practice Location
- Address
- 515 READ ST
- City
- Evansville
- State
- Indiana
- ZIP Code
- 47710-1739
- Phone
- (812) 424-9291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prevention Professional |
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