Individual
ETHAN STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
201 S MCCRARY ST, WOODBURY, TN 37190-1439
(615) 563-5520
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13549
TN
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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