ETHAN DALE LUTTRELL
NPI 1487212510
Physical Therapy Assistant in Eldon, MO
About Ethan Dale Luttrell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN DALE LUTTRELL (NPI 1487212510) is an individual physical therapy assistant in Eldon, Missouri, licensed in Missouri (2019018423) and active in the NPI registry since June 2019.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Luttrell's NPI number?
The NPI number for Ethan Luttrell is 1487212510. It was assigned to this individual provider in the NPPES registry on June 4, 2019.
Where is Ethan Luttrell located?
Ethan Luttrell practices at 302 E 4th St, Eldon, MO 65026. The listed phone number is (573) 392-3000.
What is Ethan Luttrell's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Ethan Luttrell was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.