Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN LOFTIN, DPT
ActiveDR. ETHAN LOFTIN, DPT is a Sports Medicine (PM&R) healthcare provider located in SLIDELL, Louisiana. NPI 1053142885 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · SLIDELL, LA
Registration Details
- NPI Number
- 1053142885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2024 (2.0442754445381 yrs)
- Last Updated
- Aug 13, 2024
- License
-
7839 (LA)
Practice Information
- Address
-
1311 GAUSE BLVDSLIDELL, LA, 704583015Browse LA providers · Browse ZIP 70458
- Phone
- 9856496577
- Fax
- 9856497615
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.