Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN STANG, P.T.
Active Sole ProprietorMR. ETHAN STANG, P.T. is a Physical Therapy Assistant healthcare provider located in ROANOKE, Virginia. NPI 1245574599 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ROANOKE, VA
Registration Details
- NPI Number
- 1245574599
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2012 (13.721356035752 yrs)
- Last Updated
- Nov 30, 2016
- Licenses
-
P14016 (NC)2305207746 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4600 BRAMBLETON AVESTE BROANOKE, VA, 240183437Browse VA providers · Browse ZIP 24018
- Phone
- 5407740729
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in ROANOKE, VA
| Name | Credential | NPI |
|---|---|---|
| MS. LAURA A ALEXANDER | MPT | 1952390049 |
| NANCY L BUTTS | PT | 1902895915 |
| MS. NANCY FORD MORGAN | PT | 1407846488 |
| JOANNE B DERRYBERRY | PT | 1952390965 |
| SUSAN W GREER | MS//PT | 1871583492 |
| MARY D JESSEE | PT | 1902896533 |
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.