Individual provider · Type 1 NPI

Ethan Matthew Ray

Student in an Organized Health Care Education/Training Program · Johnson City, TN

NPI number 1295693117 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604-6035

Call (423) 431-6111 Map

Mailing address

74 Finney Rd
Honaker, VA 24260-6342

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295693117

Ethan Matthew Ray's National Provider Identifier is 1295693117, issued on Jan 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johnson City, TN. The record was last updated on Jan 10, 2026.