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Brian Ethridge, PTA
NPI 1184770711 · on the registry since 2007
Practice
- Address
- 333 W Main St
Madison, WI 53703 - Phone
- (608) 283-2123
- Organisation at this address
- Capitol Lakes Inc.
Rehab Specialists Outpatient LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin