MR. KENNETH TILLMAN JR. ETHINGTON (PTA) – Geriatric Physical Therapist, NPI 1811338445
Geriatric Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. KENNETH TILLMAN JR. ETHINGTON (PTA)
2707 S ADAMS ST APT 3
SALT LAKE CITY, UT 841153350
Phone: (435) 668-2083
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84115)
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