Individual
MR. ERIC TYLER KETCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2115 W 38TH ST, ERIE, PA 16508-1925
(814) 722-6218
Mailing address
2115 W 38TH ST, ERIE, PA 16508-1925
(814) 722-6218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG009882
PA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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