Ethan Wilson, LMP
NPI #1235945940 in Maple Valley, Washington
Provider Information
- NPI Number
- 1235945940
- Entity Type
- Individual
- Name
- Ethan Wilson, LMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Dec 6, 2024
- Last Updated
- Dec 6, 2024
Practice Location
- Address
- 26832 MAPLE VALLEY BLACK DIAMOND RD SE
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-8309
- Phone
- (425) 433-6583
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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