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

Dr. Ethan Aldon Tall, PT, DPT

Individual provider Physical Therapist · NPI 1497696371

Dr. Ethan Aldon Tall, PT, DPT is a Physical Therapist in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3630 S 25th E Ste 4
Ammon, ID 83401
Phone: (208) 970-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2071597 (ID)

Record details

NPI number1497696371
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 3, 2026
Last updated in NPPESApril 3, 2026
Certification dateMarch 28, 2026

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