Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN LOUIS DUCLOS, DPT
Active Sole ProprietorETHAN LOUIS DUCLOS, DPT is a Physical Therapy Assistant healthcare provider located in RED BUD, Illinois. NPI 1164010781 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RED BUD, IL
Registration Details
- NPI Number
- 1164010781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2021 (5.6104644298349 yrs)
- Last Updated
- Jan 8, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
3507 STATE ROUTE 3RED BUD, IL, 622784037Browse IL providers · Browse ZIP 62278
- Phone
- 6189777415
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in RED BUD, IL
| Name | Credential | NPI |
|---|---|---|
| CARA DAKE | PT | 1487917027 |
| MRS. NANCY L CONNELLY | P.T. | 1497092241 |
| MRS. AIMEE KATHLEEN RANGE | P.T. | 1720325376 |
| SARAH E HEINE | DPT | 1770820391 |
| MRS. ASHLEY N HENTIS | — | 1588902977 |
| NATALIE N LIEFER | DPT | 1376198978 |
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.