MR. Kenneth Tillman Ethington JR., PTA

NPI #1811338445 in Salt Lake City, Utah

Provider Information

NPI Number
1811338445
Entity Type
Individual
Name
MR. Kenneth Tillman Ethington JR., PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Geriatrics
Credential
PTA
Enumeration Date
Jul 11, 2013
Last Updated
Jul 11, 2013

Practice Location

Address
2707 S ADAMS ST APT 3
State
Utah
ZIP Code
84115-3350
Phone
(435) 668-2083

Specialties & Taxonomy Codes

Specialty
Physical Therapist - GeriatricsGeriatrics
Physical Therapist - OrthopedicOrthopedic

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