Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Cole Baldock, PTA

Individual provider Physical Therapy Assistant · NPI 1699294462

Ethan Cole Baldock, PTA is a Physical Therapy Assistant in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1789 Kirby Pkwy Ste 3
Memphis, TN 38138-3657
Phone: (901) 759-1282
Fax: (901) 759-1290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6559 (TN)

Record details

NPI number1699294462
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESSeptember 13, 2017

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