Individual
ETHAN JOEL DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1632 W BROADWAY AVE, MARYVILLE, TN 37801-5600
(865) 984-1996
(865) 984-1997
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13412
TN
225100000X
Physical Therapist
—
TN
Other
Enumeration date
05/03/2021
Last updated
05/26/2021
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