Individual
ETHAN NATHANIEL SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6383 OXFORD MILFORD RD, OXFORD, OH 45056-8851
(513) 280-1363
Mailing address
6383 OXFORD MILFORD RD, OXFORD, OH 45056-8851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004785
OH
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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