Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 01188 | LA |
N | 225100000X | Physical Therapist | 4031 | ME |
Y | 2251P0200X | Physical Therapist - Pediatrics | 3801 | NH |
NPI | 1033243142 |
---|---|
Provider Name | Ms. Francanne M Etringer |
First Address | Mankato, MN 56001-3138 |
Second Address | Mankato, MN 56001-3138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 26/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1310051 | (05) | LA |
72-6000821 | FEDERAL IDENTIFICATION # (01) | LA |