IndividualActive
Ethan Loftin, DPT
NPI 1053142885 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Slidell, LA
Provider details
- NPI number
- 1053142885
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 7839 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1311 Gause Blvd
Slidell, LA 70458-3015
Phone: (985) 649-6577
Fax: (985) 649-7615
Approximate (ZIP-level) locationGet directions
Mailing address
1311 Gause Blvd
Slidell, LA 70458-3015
Additional practice locations (1)
- 1053 Tina Ladner Vic Faye RdPass Christian, MS 39571-8920Phone: (228) 255-5151Fax: (985) 228-5055
Registry dates
- Enumerated
- 2024-08-13
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.