Mitchell, Ethan Alan
Mitchell, Ethan Alan is an individual health care provider with primary practice located at 12520 Willow Springs Rd Bldg 3-104 , Haslet TX 76052-3584. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mitchell, Ethan Alan can be contacted via phone (817) 210-6196.Contact Information
Primary practice address
12520 Willow Springs Rd Bldg 3-104
Haslet TX 76052-3584
Phone: (817) 210-6196
Fax: (817) 782-9303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1380951 | Texas |
Profile Details
| NPI number | 1245921188 |
|---|---|
| LBN Legal business name | Mitchell, Ethan Alan |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2023 |
| Last updated | Aug 8th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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