Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN ANDERSON, DPT
ActiveETHAN ANDERSON, DPT is a Physical Therapy Assistant healthcare provider located in PEORIA, Arizona. NPI 1063966554 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PEORIA, AZ
Registration Details
- NPI Number
- 1063966554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2016 (9.8194598773517 yrs)
- Last Updated
- Aug 12, 2016
- License
-
12383 (AZ)
Practice Information
- Address
-
7707 W DEER VALLEY RDSUITE 100PEORIA, AZ, 853822101Browse AZ providers · Browse ZIP 85382
- Phone
- 6233769100
- Fax
- 6233769141
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Environmental Modification (OT)
- Additional Specialty
- Ergonomics (Occupational Therapy)
Other Physical Therapy Assistant Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. IAN HOVER | PT, MPT | 1366445033 |
| LISA HAARER | DPT | 1417954710 |
| MR. CLINTON BORMAN | DPT, MTC | 1851398119 |
| MR. ROBERT LEE OAKESON | P.T. | 1598764680 |
| MR. JAMES P MORAN | PT | 1609850585 |
| MR. PATRICK J DOMANICO | PT | 1710966767 |
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.