Search › Idaho › 225100000X
Ethan Tall, PT, DPT
NPI 1497696371 · on the registry since 2026
Practice
- Address
- 3630 S 25th E
Suite 4
Ammon, ID 83401 - Phone
- (208) 970-4833
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-03
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 Idaho