Individual
ETHAN DALE LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 E 4TH ST, ELDON, MO 65026-1808
(573) 392-3000
Mailing address
302 E 4TH ST, ELDON, MO 65026-1808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019018423
MO
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us