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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN BLAKE GAMBREL, PT, DPT

Active

ETHAN BLAKE GAMBREL, PT, DPT is a Physical Therapy Assistant healthcare provider located in MIDDLESBORO, Kentucky. NPI 1093497836 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MIDDLESBORO, KY

Registration Details

NPI Number
1093497836
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2023 (2.9965078703613 yrs)
Last Updated
Aug 2, 2023
License
008856 (KY)

Practice Information

Address
1510 CUMBERLAND AVE
MIDDLESBORO, KY, 409651223
Browse KY providers · Browse ZIP 40965
Phone
6185346713
Fax
6063025418
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MIDDLESBORO, KY

Name Credential NPI
MR. JAMES T CORUM JR. PHYSICAL THERAPIST 1790075745
AUDRA ANISSA HALL P.T. 1619423910
HOLDEN NORTH DPT 1942931613
DR. HALEY PAULINE BERMAN PT, DPT 1558067280
KIERSTYN ARNOLD PT, DPT 1699558916
STEPHEN BAKER PT, DPT 1841007507
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.