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LANDON KEITH ETHRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 415-2010
(615) 634-3821
Mailing address
403 LOCUST ST, ALEXANDRIA, TN 37012-2000
16016167917

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/15/2017
Last updated
09/15/2017
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