ETHAN WILSON

LOUISVILLE, KY
NPI1174404214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2025-09-08
Last Update Date2025-09-08
Business Address
-- ETHAN WILSON
901 S 4TH ST
LOUISVILLE, KY 40203-2188
Phone number: 502-585-9911
Mailing Address
-- ETHAN WILSON
11306 COTTAGE VIEW CT
LOUISVILLE, KY 40299-4393
Phone number:
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