Ethan Dale Luttrell
Ethan Dale Luttrell is a Physical Therapy Assistant in Eldon, Missouri. Licensed in Missouri. Registered with an NPI since 2019.
- Licensed in
- MO
- In the registry since
- 2019
Practice location Address checks out
302 E 4th StEldon, MO 65026-1808
Phone: (573) 392-3000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2019018423 (MO) |
|---|
Record details
| NPI number | 1487212510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2019 |
| Last updated in NPPES | June 4, 2019 |
| Mailing address | 302 E 4th St, Eldon, MO 65026-1808 |