Individual
ETHAN BLUMHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5377
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
IL
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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