Individual
ETHAN DAVID WILKINSON-FELGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 DONALDSON ST, CANTON, MO 63435-1101
(573) 383-4595
Mailing address
507 DONALDSON ST, CANTON, MO 63435-1101
(573) 383-4595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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