Most Relevant Information
Provider Data
| NPI Number: | 1003822024 |
| Provider Name: | MICHAEL LOCKE ETTINGER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 280152-2401 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1380 E MEDICAL CENTER DR
ST GEORGE
UT
847902123
Practice Location Phone/Fax
| Phone: | 4352511000 |
| Fax: | 4356884002 |
Provider Mailing Location
1380 E MEDICAL CENTER DR
ST GEORGE
UT
847902123
Provider Mailing Phone/Fax
| Phone: | 4352511000 |
| Fax: | 4356884002 |