Ethan Cantrell

Physical Therapy Assistant · Sapulpa, OK

Individual Active NPI

NPI number 1891142295

Practice location

1120 Ridge Oak Rd
Sapulpa, OK 74066-8446
Phone
(918) 606-6042

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NPI record

NPI
1891142295
Entity type
Individual (Type 1)
Enumeration date
May 16, 2016
Last updated
May 16, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2645 OK

About Ethan Cantrell

Ethan Cantrell is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1120 Ridge Oak Rd, Sapulpa, OK 74066-8446. The NPI number 1891142295 was assigned on May 16, 2016 and the record was last updated on May 16, 2016.

Ethan Cantrell lists a license in the registry: #2645 (OK) 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 Cantrell?

The NPI number is 1891142295.

What is the phone number of Ethan Cantrell?

The phone number listed for the practice location is (918) 606-6042.

Where is Ethan Cantrell located?

1120 Ridge Oak Rd, Sapulpa, OK 74066-8446.

What is the taxonomy code for Ethan Cantrell?

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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