Brian Lee Ethridge, PTA

Physical Therapy Assistant · Madison, WI

Individual Active NPI

NPI number 1184770711

Practice location

333 W Main St
Madison, WI 53703-2777
Phone
(608) 283-2123

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NPI record

NPI
1184770711
Entity type
Individual (Type 1)
Enumeration date
January 26, 2007
Last updated
February 5, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 794-019 WI

Mailing address

7704 Westchester Dr
Middleton, WI 53562-3600
Phone
(608) 445-3317

About Brian Ethridge

Brian Lee Ethridge, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 333 W Main St, Madison, WI 53703-2777. The NPI number 1184770711 was assigned on January 26, 2007 and the record was last updated on February 5, 2014.

Brian Ethridge lists a license in the registry: #794-019 (WI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Lee Ethridge, PTA?

The NPI number is 1184770711.

What is the phone number of Brian Ethridge?

The phone number listed for the practice location is (608) 283-2123.

Where is Brian Ethridge located?

333 W Main St, Madison, WI 53703-2777.

What is the taxonomy code for Brian Ethridge?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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