Brian Lee Ethridge in Middleton - Physical Therapy Assistant

Brian Lee Ethridge - NPI 1184770711

Brian Lee Ethridge is a Physical Therapy Assistant in Middleton, Wisconsin. Brian Lee Ethridge practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Brian Lee Ethridge is 1184770711. The last update date is 2014-02-05.

Brian Lee Ethridge's current location address is 7704 Westchester Dr, Middleton, Wisconsin. You can contact this provider via phone number 6084453317. The mailing address for Brian Lee Ethridge is 7704 Westchester Dr, Middleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Lee Ethridge
Address 7704 Westchester Dr, Middleton, Wisconsin
Phone Number 6084453317
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1184770711
Provider Enumeration Date 2007-01-26
Last Updated Date 2014-02-05

Provider Mailing Address Detail

Address 7704 Westchester Dr
City Middleton
State Wisconsin (WI)
Post Code 535623600
Phone Number 6084453317
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 794-019
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Brian Lee Ethridge

What is the Brian Lee Ethridge's 1184770711?

The Brian Lee Ethridge's NPI (National Provider Identifier) Number is 1184770711. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Brian Lee Ethridge is located?

The Brian Lee Ethridge is situated at the following address: 7704 Westchester Dr, Middleton, WI, 535623600.

What is Brian Lee Ethridge's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brian Lee Ethridge is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

When did Brian Lee Ethridge receive its 1184770711 assignment?

The Brian Lee Ethridge was assigned its 1184770711 on 2007-01-26, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Brian Lee Ethridge most recently updated or revised?

The details related to Brian Lee Ethridge, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-05.

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