Individual provider · Type 1 NPI

Kenneth Tillman Ethington Jr., PTA

Geriatric Physical Therapist · Salt Lake City, UT

NPI number 1811338445 Active

Practice location

2707 S Adams St Apt 3
Salt Lake City, UT 84115-3350

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304X5477970-2402 (UT)
Orthopedic Physical Therapist 2251X0800X5477970-2402 (UT)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

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About NPI 1811338445

Kenneth Tillman Ethington Jr., PTA's National Provider Identifier is 1811338445, issued on Jul 11, 2013. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 11, 2013.