MEDICARE: ETHAN KADE TORRANCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6857	OK

General Provider Information

NPI Number	:	1427901750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETHAN KADE TORRANCE

Provider Business Mailing Address
First Line	:	4900 OKLAHOMA AVE STE 200
Second Line	:
City	:	WOODWARD
State	:	OK
Zip	:	73801-3713
Country	:	US
Telephone Number	:	580-377-3670
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 OKLAHOMA AVE STE 200
Second Line	:
City	:	WOODWARD
State	:	OK
Zip	:	73801-3713
Country	:	US
Telephone Number	:	580-377-3670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ ETHAN KADE TORRANCE ” Practice Location

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