Ethington, Kenneth Tillman

Ethington, Kenneth Tillman is an individual health care provider with primary practice located at 2707 S Adams St Apt 3 , Salt Lake City UT 84115-3350. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics is his primary health care specialty. Ethington, Kenneth Tillman can be contacted via phone (435) 668-2083.

Contact Information

Primary practice address
2707 S Adams St Apt 3 Salt Lake City UT 84115-3350
Phone: (435) 668-2083
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 5477970-2402 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5477970-2402 Utah

Profile Details

NPI number 1811338445
LBN Legal business name Ethington, Kenneth Tillman
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2013
Last updated Jul 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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