Individual
ETHAN K CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
745 SCHNIER ST, COLUMBUS, IN 47201-6657
(812) 376-9353
(812) 376-3757
Mailing address
3911 BRIAR HILL WAY, COLUMBUS, IN 47203-2788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/29/2025
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