Landon Keith Ethridge, PTA

NPI #1720507288 in Springfield, Tennessee

Provider Information

NPI Number: 1720507288
Entity Type: Individual
Name: Landon Keith Ethridge, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Sep 15, 2017
Last Updated: Sep 15, 2017

Practice Location

Address: 3131 TOM AUSTIN HWY
City: Springfield
State: Tennessee
ZIP Code: 37172-4801
Phone: (615) 415-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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