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

Jodelyn Teofila Ettlin, PTA

Individual provider Physical Therapy Assistant · NPI 1508284886

Jodelyn Teofila Ettlin, PTA is a Physical Therapy Assistant in Rohnert Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

6174 State Farm Dr
Rohnert Park, CA 94928-2135
Phone: (707) 480-7789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT-9120 (CA)

Record details

NPI number1508284886
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 3, 2014
Last updated in NPPESApril 3, 2014

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