Individual
GABRIEL ETHAN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
2020 74TH ST SE APT A, EVERETT, WA 98203
(509) 638-4166
Mailing address
2020 74TH ST SE APT A, EVERETT, WA 98203-6836
(509) 638-4166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225700000X
Massage Therapist
MA60234849
WA
Other
Enumeration date
04/19/2012
Last updated
08/31/2018
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