Individual
BOYD A ETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DIP. MDT, OCS
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 788-5242
(775) 786-6942
Mailing address
10775 DOUBLE R BLVD, SUITE 100, RENO, NV 89521
(775) 853-7475
(775) 853-2013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
869
NV
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416042
—
NV
Enumeration date
10/06/2005
Last updated
02/06/2012
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