Ethan Karls, LMT

NPI #1902300726 in Sparta, Wisconsin

Provider Information

NPI Number: 1902300726
Entity Type: Individual
Name: Ethan Karls, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 19, 2018
Last Updated: Mar 19, 2018

Practice Location

Address: 213 N BLACK RIVER ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-1529
Phone: (608) 487-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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