Individual
ETHAN THOMAS PRAVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CCI
Contact information
Practice address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
Mailing address
1086 AMSTERDAM AVE APT 2A, NEW YORK, NY 10031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0124005
VT
225100000X
Physical Therapist
Primary
042312-1
NY
225100000X
Physical Therapist
22214
MA
225100000X
Physical Therapist
4111
NH
Other
Enumeration date
07/06/2016
Last updated
04/16/2020
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