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

Austin Etheridge

Individual provider Physical Therapy Assistant · NPI 1760187348

Austin Etheridge is a Physical Therapy Assistant in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-3016
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA28949 (FL)

Record details

NPI number1760187348
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address51 Nw 5th Pl, Williston, FL 32696-1611

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