Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kenneth Tillman Ethington Jr., PTA

Individual provider Geriatric Physical Therapist · NPI 1811338445

Mr. Kenneth Tillman Ethington Jr., PTA is a Geriatric Physical Therapist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2707 S Adams St Apt 3
Salt Lake City, UT 84115-3350
Phone: (435) 668-2083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 5477970-2402 (UT)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 5477970-2402 (UT)

Record details

NPI number1811338445
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 11, 2013
Last updated in NPPESJuly 11, 2013

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