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

Individual provider Physical Therapist · NPI 1093497836

Ethan Blake Gambrel, PT, DPT is a Physical Therapist in Middlesboro, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023
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

1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone: (618) 534-6713
Fax: (606) 302-5418
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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 008856 (KY)

Record details

NPI number1093497836
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

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