IndividualActive
Ethan Luttrell
NPI 1487212510 · Physical Therapy Assistant · Eldon, MO
Provider details
- NPI number
- 1487212510
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2019018423 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
302 E 4th St
Eldon, MO 65026-1808
Phone: (573) 392-3000
Approximate (ZIP-level) locationGet directions
Mailing address
302 E 4th St
Eldon, MO 65026-1808
Registry dates
- Enumerated
- 2019-06-04
- Last updated
- 2019-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.