Individual
ETHAN SHOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 MULBERRY ST, MONTOURSVILLE, PA 17754-1922
(570) 772-7184
Mailing address
809 WELDON ST, MONTOURSVILLE, PA 17754-1435
(570) 772-7184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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