Ethan Dale Luttrell
Physical Therapy Assistant · Eldon, MO
Practice location
302 E 4TH StEldon, MO 65026-1808
- Phone
- (573) 392-3000
NPI record
- NPI
- 1487212510
- Entity type
- Individual (Type 1)
- Enumeration date
- June 4, 2019
- Last updated
- June 4, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
2019018423 | MO |
About Ethan Luttrell
Ethan Dale Luttrell is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 302 E 4TH St, Eldon, MO 65026-1808. The NPI number 1487212510 was assigned on June 4, 2019 and the record was last updated on June 4, 2019.
Ethan Luttrell lists a license in the registry: #2019018423 (MO) 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 Ethan Dale Luttrell?
The NPI number is 1487212510.
What is the phone number of Ethan Luttrell?
The phone number listed for the practice location is (573) 392-3000.
Where is Ethan Luttrell located?
302 E 4TH St, Eldon, MO 65026-1808.
What is the taxonomy code for Ethan Luttrell?
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.
Other Physical Therapy Assistant providers in Eldon
- Linda Mullins, L.M.T.3 Walnut Grove Rd