Individual provider · Type 1 NPI

Ethan Cole Baldock, PTA

Physical Therapy Assistant · Memphis, TN

NPI number 1699294462 Active

Practice location

1789 Kirby Pkwy Ste 3
Memphis, TN 38138-3657

Fax (901) 759-1290

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	6559 (TN)

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 1699294462

Ethan Cole Baldock, PTA's National Provider Identifier is 1699294462, issued on Sep 13, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Memphis, TN. The record was last updated on Sep 13, 2017.