Provider Demographics
NPI:1336035757
Name:FILBY, ETHAN EDWARD (DPT)
Entity type:Individual
Prefix:DR
First Name:ETHAN
Middle Name:EDWARD
Last Name:FILBY
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 1:504 SW HICKORY CT
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-2247
Mailing Address - Country:US
Mailing Address - Phone:563-362-0791
Mailing Address - Fax:
Practice Address - Street 1:4020 MERLE HAY RD STE 200
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-1357
Practice Address - Country:US
Practice Address - Phone:515-278-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA133325225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist