Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN JOEL DUDLEY
ActiveETHAN JOEL DUDLEY is a Physical Therapy Assistant healthcare provider located in MARYVILLE, Tennessee. NPI 1750964284 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MARYVILLE, TN
Registration Details
- NPI Number
- 1750964284
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2021 (5.2814865151664 yrs)
- Last Updated
- May 26, 2021
- License
-
13412 (TN)
Practice Information
- Address
-
1632 W BROADWAY AVEMARYVILLE, TN, 378015600Browse TN providers · Browse ZIP 37801
- Phone
- 8659841996
- Fax
- 8659841997
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in MARYVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY GARLAND CHANDLER | MS, PT | 1952397820 |
| MRS. BETH RENEE RAY | P.T. | 1306835251 |
| MS. MARY C. CAWTHORN | PT | 1528019759 |
| DR. LAURA HORVATH GAGNON | P.T., PH. D. | 1164474706 |
| MRS. TORY LYNNE TOMBERLIN | MSPT | 1497795850 |
| MS. ANITA CHRISTINE LAWSON | PT | 1700827367 |
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.