Individual
ETHAN SAMUEL SPEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1917 LOHMANS CROSSING RD, AUSTIN, TX 78734-5269
(512) 261-3211
Mailing address
4507 TOPACIO DR, SPICEWOOD, TX 78669-6997
(601) 319-8643
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2174178
TX
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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