Ethan John Stout, PT, DPT
Physical Therapist in Hastings, NE. Individual provider (NPI-1).
NPI number1144652017
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1144652017
- Entity type
- Individual (NPI-1)
- Name
- Ethan John Stout
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2013
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 3082 | NE | Yes |
Practice location
207 S Burlington AveHastings, NE 68901-5905
Phone 402-462-8824 · Fax 402-462-8017
Mailing address
207 S Burlington AveHastings, NE 68901-5905
Phone 402-462-8824
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All 45 Physical Therapist providers in Hastings · All 1,440 providers in Hastings
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