Ethan Kitchell, is a
Physical Therapist physician based in Grand Junction, Colorado. Ethan Kitchell is licensed to practice in Colorado (license number PTL.0015116) and his current practice location is 2115 Grand Ave, Grand Junction, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 254-4872.
NPI number for Ethan Kitchell is 1578089116 and his current mailing address is 2115 Grand Ave, Grand Junction, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578089116.
Physician's Profile
| Full Name | Ethan Kitchell |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 2115 Grand Ave, Grand Junction, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578089116
- Provider Enumeration Date: 08/15/2017
- Last Update Date: 11/14/2023
Medical Identifiers
Medical identifiers for Ethan Kitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578089116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | PTL.0015116 (Colorado) | Secondary |
| 225100000X | Physical Therapist | PTL.0015116 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Kitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ethan Kitchell, 2115 Grand Ave, Grand Junction, CO 81501-8007 Ph: (970) 254-4872 | Ethan Kitchell, 2115 Grand Ave, Grand Junction, CO 81501-8007 Ph: (970) 254-4872 |
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