Kenneth Tillman Ethington, PTA Valid NPI
Individual provider · Geriatric Physical Therapist · Salt Lake City, UT
- NPI
- 1811338445
- Type
- Individual (Type 1)
- Primary specialty
- Geriatric Physical Therapist (Physical Therapist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2251G0304X
- License number
- 5477970-2402 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-07-11
- Last updated
- 2013-07-11
Practice location
2707 S Adams St Apt 3
Salt Lake City, UT 84115-3350
(435) 668-2083