Provider Demographics
NPI:1114397429
Name:ETLER, NATHAN (DPT)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:ETLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7595 HANCOCK COUNTY ROAD 236
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840
Mailing Address - Country:US
Mailing Address - Phone:419-427-1984
Mailing Address - Fax:419-427-2984
Practice Address - Street 1:351 S LANE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-2319
Practice Address - Country:US
Practice Address - Phone:419-562-6686
Practice Address - Fax:419-562-6625
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 015229225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist