National Provider Identifier
Ethan Lewis
Ethan Lewis is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 274-4159.
Profile Overview
- NPI
- 1942677877
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 26, 2015
- Last Updated
- August 26, 2015
Practice Location
- 10 Brentwood Dr
- Ithaca, NY 14850-1865
Phone: (607) 274-4159
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1942677877
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Ethan
- Mailing Street Address
- 10 Brentwood Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1865
- Mailing Country
- US
- Practice Street Address
- 10 Brentwood Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1865
- Practice Country
- US
- Practice Phone
- (607) 274-4159
- Enumeration Date
- August 26, 2015
- Last Updated
- August 26, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)