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
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84115-3350
- Phone
- (435) 668-2083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Geriatrics — Geriatrics |
| Physical Therapist - Orthopedic — Orthopedic |
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