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

Individual provider Physical Therapist · NPI 1164010781

Ethan Louis Duclos, DPT is a Physical Therapist in Red Bud, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3507 State Route 3
Red Bud, IL 62278-4037
Phone: (618) 977-7415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1164010781
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021

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