NPI 1053142885

Ethan Loftin, DPT

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Slidell, LA

Practice location

Address: 1311 Gause Blvd, Slidell, LA 70458-3015
Phone: (985) 649-6577
Fax: (985) 649-7615

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 7839 (LA)

Other Physical Medicine & Rehabilitation providers in Louisiana →

Registry record

NPI: 1053142885
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2024
Record last updated: 13 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.