ETHAN WILLEY

ERIE, PA
NPI1407370646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA  RT006072)
Enumeration Date2017-07-31
Last Update Date2017-07-31
Business Address
ETHAN WILLEY ATC
5103 STATION RD
ERIE, PA 16563-4304
Phone number: 814-898-6017
Mailing Address
ETHAN WILLEY ATC
6592 BUFFALO RD APT 2
HARBORCREEK, PA 16421-1160
Phone number: 1302-531-6262
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