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Contact Information

KENNETH T ETHINGTON JR, PTA
2707 S ADAMS ST APT 3
SALT LAKE CITY, UT84115-3350
 Phone: 435-668-2083
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KENNETH T ETHINGTON JR · (Male)

NPI # 1811338445
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 07/11/2013
Last updated 07/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5477970-2402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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