ETHAN BALOGH

INDEPENDENCE, MO
NPI1932064862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2026006907)
Enumeration Date2025-12-23
Last Update Date2026-02-12
Business Address
ETHAN BALOGH DPT
3509 S NOLAND RD
INDEPENDENCE, MO 64055-3339
Phone number: 816-313-2220
Mailing Address
ETHAN BALOGH DPT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-6200
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