Individual
ETHAN PLAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
30200 METCALF RD, LOUISBURG, KS 66053-7100
(913) 832-7151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6771562
ID
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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