Ethan Elkin

NPI #1629533492 in Indianola, Iowa

Provider Information

NPI Number: 1629533492
Entity Type: Individual
Name: Ethan Elkin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 6, 2019
Last Updated: Feb 6, 2019

Practice Location

Address: 1709 N JEFFERSON WAY STE 100
City: Indianola
State: Iowa
ZIP Code: 50125-1459
Phone: (515) 962-9272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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