Ethan John Stout, PT, DPT

NPI #1144652017 in Hastings, Nebraska

Provider Information

NPI Number: 1144652017
Entity Type: Individual
Name: Ethan John Stout, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Aug 2, 2013
Last Updated: Feb 22, 2023

Practice Location

Address: 207 S BURLINGTON AVE
City: Hastings
State: Nebraska
ZIP Code: 68901-5905
Phone: (402) 462-8824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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