Individual
ETHAN FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 INDIAN ROCK RD, REEDSVILLE, WV 26547-7103
(681) 406-7084
Mailing address
119 INDIAN ROCK RD, REEDSVILLE, WV 26547-7103
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
WV
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
04/21/2026
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