Individual provider · Type 1 NPI

Ethan Dale Luttrell

Physical Therapy Assistant · Eldon, MO

NPI number 1487212510 Active

Practice location

302 E 4th St
Eldon, MO 65026-1808

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2019018423 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1487212510

Ethan Dale Luttrell's National Provider Identifier is 1487212510, issued on Jun 4, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Eldon, MO. The record was last updated on Jun 4, 2019.