Individual provider · Type 1 NPI
Nicole Ethridge, PTA
Physical Therapy Assistant · Flora, IL
Practice location
701 Shadwell Ave
Flora, IL 62839-2310
Mailing address
11121 E Candleberry Ave
Effingham, IL 62401-7456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | None listed |
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 1922733484
Nicole Ethridge, PTA's National Provider Identifier is 1922733484, issued on Jul 19, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Flora, IL. The record was last updated on Jul 19, 2022.