Individual
ETHAN KITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Mailing address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTL.0015116
CO
225100000X
Physical Therapist
Primary
PTL.0015116
CO
Other
Enumeration date
08/15/2017
Last updated
11/14/2023
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