Ethan Pettiway MPT

  • NPI 1023153558
According to our database, the NPI number for Ethan Pettiway MPT is 1023153558 and activated since 17 years ago. Ethan Pettiway MPT is an individual provider who specializes in Physical Therapist, and the primary practice location is 500 N Kingsbury St, Chicago, IL 60654. You can also contact Ethan Pettiway MPT via telephone number is (312) 527-5801. Provider NPI information was last updated on 12/01/2009.

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Overview of Ethan Pettiway MPT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/21/2007
  • Last updated: 12/01/2009

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 070014987
  • License State: IL

Provider Mailing Address

  • Address: 500 Kingsbury
    Chicago, IL 60654
  • Phone: 312-527-5801
  • Fax: 312-644-4567

Provider Practice Location

  • Address: 500 N Kingsbury St
    Chicago, IL 60654
  • Phone: 312-527-5801
  • Fax: 312-644-4567

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 070014987
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ethan Pettiway MPT?
  • A: The npi number for Ethan Pettiway MPT is 1023153558.
  • Q: What are Ethan Pettiway MPT's specialties?
  • A: Ethan Pettiway MPT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Ethan Pettiway MPT?
  • A: The medical license number for Ethan Pettiway MPT is 070014987 and issued in IL in USA.
  • Q: Where is Ethan Pettiway MPT practice location?
  • A: Ethan Pettiway MPT is practicing at 500 N Kingsbury St, Chicago, IL 60654.
  • Q: How to contact Ethan Pettiway MPT?
  • A: You can contact Ethan Pettiway MPT via 312-527-5801.