Daniel Banta Ethington, LMT

NPI #1851887590 in West Jordan, Utah

Provider Information

NPI Number: 1851887590
Entity Type: Individual
Name: Daniel Banta Ethington, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 5, 2018
Last Updated: Jul 5, 2018

Practice Location

Address: 9317 S TANYA AVE
City: West Jordan
State: Utah
ZIP Code: 84088-8529
Phone: (801) 244-3384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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