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

Ethan Cole Baldock, PTA

Individual provider Physical Therapy Assistant · NPI 1699294462

Ethan Cole Baldock, PTA is a Physical Therapy Assistant in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1789 Kirby Pkwy Ste 3
Memphis, TN 38138-3657
Phone: (901) 759-1282
Fax: (901) 759-1290
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6559 (TN)

Record details

NPI number1699294462
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESSeptember 13, 2017
Mailing address1789 Kirby Pkwy Ste 3, Memphis, TN 38138-3657

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