Provider Demographics
NPI:1942493853
Name:ERTLE, BRITTNEY LYNN (PT)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LYNN
Last Name:ERTLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S BISSELL RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-9170
Mailing Address - Country:US
Mailing Address - Phone:330-562-5000
Mailing Address - Fax:330-562-5181
Practice Address - Street 1:101 S BISSELL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-9170
Practice Address - Country:US
Practice Address - Phone:330-562-5000
Practice Address - Fax:330-562-5181
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT008340225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist