Ethan Kicker

NPI #1124610837 in Pelham, Alabama

Provider Information

NPI Number
1124610837
Entity Type
Individual
Name
Ethan Kicker
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Feb 4, 2021
Last Updated
Feb 4, 2021

Practice Location

Address
3569 PELHAM PKWY STE 7
City
Pelham
State
Alabama
ZIP Code
35124-2033
Phone
(205) 664-8404

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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