Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan B. Colliver DO PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1740572205

Ethan B. Colliver DO PLLC is a Physical Medicine & Rehabilitation Physician in Blacksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3706 S Main St
Blacksburg, VA 24060-7006
Phone: (540) 345-3556
Fax: (540) 777-1147
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 0102202537 (VA)

Record details

NPI number1740572205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethan Colliver — President · (540) 345-3556
Other names Colliver Sports And Spine Clinic
NPI enumeratedMay 3, 2011
Last updated in NPPESMay 3, 2011
Mailing addressPo Box 8310, Roanoke, VA 24014-0310

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