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

Todd Van Etten

Individual provider Physical Therapy Assistant · NPI 1033500178

Todd Van Etten is a Physical Therapy Assistant in Lake Forest, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

26318 Misty Gln
Lake Forest, CA 92630-7249
Phone: (949) 202-8905
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9605 (CA)

Record details

NPI number1033500178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 11, 2015
Mailing address26318 Misty Gln, Lake Forest, CA 92630-7249

Other providers in Lake Forest