ETHAN DALE LUTTRELL

ELDON, MO
NPI1487212510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2019018423)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
ETHAN DALE LUTTRELL
302 E 4TH ST
ELDON, MO 65026-1808
Phone number: 573-392-3000
Mailing Address
ETHAN DALE LUTTRELL
302 E 4TH ST
ELDON, MO 65026-1808
Phone number: