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Ethan Baldock, PTA
NPI 1699294462 · on the registry since 2017
Practice
- Address
- 1789 Kirby Pkwy Ste 3
Memphis, TN 38138 - Phone
- (901) 759-1282
- Fax
- (901) 759-1290
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-09-13
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 Tennessee