IndividualActive
Kenneth Ethington, PTA
NPI 1811338445 · Geriatric Physical Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1811338445
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 5477970-2402 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2707 S Adams St Apt 3
Salt Lake City, UT 84115-3350
Phone: (435) 668-2083
Approximate (ZIP-level) locationGet directions
Mailing address
2707 S Adams St Apt 3
Salt Lake City, UT 84115-3350
Registry dates
- Enumerated
- 2013-07-11
- Last updated
- 2013-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.