Individual
ETHAN RICHARD MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
936 S HASTINGS AVE, HASTINGS, NE 68901-6927
(308) 218-9325
Mailing address
PO BOX 939, BELLEVUE, NE 68005-0939
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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