Individual
MITSUKI ETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
40 WILTON PASTURE LN APT 303, CHARLOTTESVILLE, VA 22911-7630
(434) 367-8179
Mailing address
40 WILTON PASTURE LN APT 303, CHARLOTTESVILLE, VA 22911-7630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126004249
VA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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