Ethan Barrett, PT, DPT
Physical Therapist in Gainesville, GA. Individual provider (NPI-1).
NPI number1164035648
StatusActive
Last updated in NPPESOct 7, 2021
Details
- NPI
- 1164035648
- Entity type
- Individual (NPI-1)
- Name
- Ethan Barrett
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2020
- Certification date
- Oct 7, 2021
- Last updated
- Oct 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT014917 | GA | Yes |
Practice location
1640 Jesse Jewell Pkwy NeGainesville, GA 30501-2561
Phone 770-536-9300 · Fax 770-536-9389
Mailing address
2400 Wisteria Dr Ste ASnellville, GA 30078-2689
Phone 770-982-0102 · Fax 770-982-0130
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