| Mr Kenneth Tillman Ethington Jr, PTA | |
|
2707 S Adams St Apt 3, Salt Lake City, UT 84115-3350 | |
| (435) 668-2083 | |
| Not Available |
| Full Name | Mr Kenneth Tillman Ethington Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Geriatrics |
| Location | 2707 S Adams St Apt 3, Salt Lake City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811338445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | 5477970-2402 (Utah) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | 5477970-2402 (Utah) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Tillman Ethington Jr, PTA 2707 S Adams St Apt 3, Salt Lake City, UT 84115-3350 Ph: (435) 668-2083 | Mr Kenneth Tillman Ethington Jr, PTA 2707 S Adams St Apt 3, Salt Lake City, UT 84115-3350 Ph: (435) 668-2083 |
Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931 | |
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Keegan Marie Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980 | |
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 | |
Eric Glad, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692 | |
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548 |