Provider Demographics
NPI:1033243142
Name:ETRINGER, FRANCANNE M (SSND,PT)
Entity Type:Individual
Prefix:MS
First Name:FRANCANNE
Middle Name:M
Last Name:ETRINGER
Suffix:
Gender:F
Credentials:SSND,PT
Other - Prefix:MS
Other - First Name:ROSE MARY
Other - Middle Name:
Other - Last Name:ETRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:170 GOOD COUNSEL DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3138
Mailing Address - Country:US
Mailing Address - Phone:504-452-4184
Mailing Address - Fax:
Practice Address - Street 1:170 GOOD COUNSEL DR
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3138
Practice Address - Country:US
Practice Address - Phone:504-452-4184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA01188225100000X
ME4031225100000X
NH38012251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA72-6000821OtherFEDERAL IDENTIFICATION #
LA1310051Medicaid