Individual
DR. MICHAEL BRYAN ETHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9368 CEDAR CENTER WAY APT 240217, LOUISVILLE, KY 40291-4522
(502) 231-3979
Mailing address
9368 CEDAR CENTER WAY APT 240217, LOUISVILLE, KY 40291-4522
(502) 231-3979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008448
KY
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
12/03/2021
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